SEC Form 4 · accession 0001209191-16-108641
Primo Water Corp · PRMW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Billy D Prim
Officer — Chairman, CEO and President · Director
Period of report
Mar 11, 2016
Accepted (ET)
Mar 15, 2016 · 6:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001365101
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 11, 2016 | A | 14,502 | $0.00 | A | 2,347,380 | D | |
| Common StockF2,F3 | Mar 11, 2016 | A | 15,000 | $0.00 | A | 2,362,380 | D | |
| Common StockF4 | holding | — | — | — | 8,032 | I | See Footnote | |
| Common StockF5 | holding | — | — | — | 4,791 | I | See Footnote | |
| Common StockF6 | holding | — | — | — | 4,791 | I | See Footnote | |
| Common StockF7 | holding | — | — | — | 23,957 | I | See Footnote | |
| Common StockF8 | holding | — | — | — | 23,957 | I | See Footnote | |
| Common StockF9 | holding | — | — | — | 4,791 | I | See Footnote | |
| Common StockF10 | holding | — | — | — | 4,791 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Stock UnitsF11,F12 | — | Mar 11, 2016 | A | 910,512 | A | — | — | Common Stock | 910,512 | 910,512 | D |
Explanation of responses
- F1These restricted stock units may only be settled in stock and vest immediately.
- F10Held by 2010 Irrevocable Trust fbo Joseph Alexander Bellisimo of which Mr. Prim is the sole trustee.
- F11Each deferred stock unit has a value as of a given date equal to the fair market value of one share of PRMW common stock.
- F12These deferred stock units are to be delivered in equal annual installments in January of each of 2018, 2019, 2020, 2021 and 2022.
- F2These restricted stock units may only be settled in stock and vest in equal annual installments on March 11 of each of 2017, 2018 and 2019.
- F3Includes 15,000 restricted stock units that vest in equal annual installments on March 11 of each of 2017, 2018 and 2019.
- F4Held by Mr. Prim's spouse.
- F5Held by Billy D. Prim Revocable Trust of which Mr. Prim is the sole trustee.
- F6Held by BD Prim, LLC of which Mr. Prim is the sole manager.
- F7Held by 2010 Irrevocable Trust fbo Sarcanda Westmoreland Bellisimo of which Mr. Prim is the sole trustee.
- F8Held by 2010 Irrevocable Trust fbo Anthony Gray Westmoreland of which Mr. Prim is the sole trustee.
- F9Held by 2010 Irrevocable Trust fbo Jager Gralyn Dean Bellisimo of which Mr. Prim is the sole trustee.