Filing Details

Accession Number:
0001179110-18-011884
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-10-02 16:32:50
Reporting Period:
2018-09-28
Accepted Time:
2018-10-02 16:32:50
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
1727824 Will Santana 923 Bridgeway Place
Eagle ID 83616
Executive Vice President Yes Yes 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 2018-09-28 713,167 $0.00 713,167 No 4 C Indirect See Footnote
Class A Common Stock Acquisiton 2018-10-01 713,167 $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 2018-09-28 713,167 $0.00 713,167 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,306,833 No 4 C Indirect
Footnotes
  1. Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.
  2. The shares of Class B Common Stock are held by VIP Petcare Holdings, Inc. Mr. Santana holds 50% of the equity interests of VIP Petcare Holdings, Inc.
  3. This amount represents the $39.00 public offering price per share of Class A Common Stock, less the underwriting discount of $1.85 per share.
  4. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.