Filing Details

Accession Number:
0001179110-18-011881
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-10-02 16:31:04
Reporting Period:
2018-09-28
Accepted Time:
2018-10-02 16:31:04
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1668673 Petiq Inc. PETQ Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1710881 Nathan James Clarke 923 S. Bridgeway Pl
Eagle ID 83616
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2018-09-28 166,000 $0.00 166,000 No 4 C Indirect See Footnote
Class A Common Stock Disposition 2018-10-01 166,000 $37.15 0 No 4 S Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect See Footnote
No 4 S Indirect See Footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Class B Common Stock Disposition 2018-09-28 166,000 $0.00 166,000 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,793,680 No 4 C Indirect
Footnotes
  1. Represents the exchange of Class B Common Stock into Class A Common Stock held of record by the reporting person.
  2. The converted shares are held by The JNC 101 Trust. Andrea Clarke, the wife of James Clarke, is the trustee of this trust and exercises voting and investment control over all shares held by the trust. Also includes 889,123 shares of Class B Common Stock held by the JNC 101 Trust, 239,916 shares of Class B Common Stock held by the James N. Clarke Irrevocable Trust, dated December 27, 2012, of which Mrs. Clarke is the trustee and 239,916 shares of Class B Common Stock held by the Andrea M. Clarke Irrevocable Trust, dated December 27, 2012, of which Mr. Clarke is the trustee.
  3. Represents shares of Class A Common Stock sold to the underwriters pursuant to an underwritten public offering that closed on October 1, 2018. The price per share received by the reporting person is equal to the public offering price of $39.00, less the underwriting discount.
  4. Each share of Class B Common Stock may be exchanged for one share of Class A Common Stock at the option of the holder and has no expiration date.
  5. Includes 353,703 shares of Class B Common Stock held by Labore et Honore LLC and 71,022 shares of Class B Common Stock held by Clarke Capital Partners LLC (collectively, the "Clarke Capital Entities"). Mr. Clarke is the manager of the Clarke Capital Entities and has voting and investment control over, and may be deemed the beneficial owner of, the shares of Class B Common Stock held by the Clarke Capital Entities.