SEC Form 4 · accession 0001209191-16-109466
Primo Water Corp · PRMW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Billy D Prim
Officer — Chairman, CEO and President · Director
Period of report
Mar 17, 2016
Accepted (ET)
Mar 18, 2016 · 4:07 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 | holding | — | — | — | 2,362,380 | D | ||
| Common StockF2 | holding | — | — | — | 8,032 | I | See Footnote | |
| Common StockF3 | holding | — | — | — | 4,791 | I | See Footnote | |
| Common StockF4 | holding | — | — | — | 4,791 | I | See Footnote | |
| Common StockF5 | holding | — | — | — | 23,957 | I | See Footnote | |
| Common StockF6 | holding | — | — | — | 23,957 | I | See Footnote | |
| Common StockF7 | holding | — | — | — | 4,791 | I | See Footnote | |
| Common StockF8 | 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 UnitsF10,F9,F11 | — | Mar 17, 2016 | F | 37,870 | D | — | — | Common Stock | 37,870 | 872,642 | D |
Explanation of responses
- F1Includes 15,000 restricted stock units that vest in equal annual installments on March 11 of each of 2017, 2018 and 2019.
- F10Shares withheld to satisfy tax withholding requirements in connection with the grant of deferred stock units on March 11, 2016.
- F11These deferred stock units are to be delivered in equal annual installments in January of each of 2018, 2019, 2020, 2021 and 2022.
- F2Held by Mr. Prim's spouse.
- F3Held by Billy D. Prim Revocable Trust of which Mr. Prim is the sole trustee.
- F4Held by BD Prim, LLC of which Mr. Prim is the sole manager.
- F5Held by 2010 Irrevocable Trust fbo Sarcanda Westmoreland Bellisimo of which Mr. Prim is the sole trustee.
- F6Held by 2010 Irrevocable Trust fbo Anthony Gray Westmoreland of which Mr. Prim is the sole trustee.
- F7Held by 2010 Irrevocable Trust fbo Jager Gralyn Dean Bellisimo of which Mr. Prim is the sole trustee.
- F8Held by 2010 Irrevocable Trust fbo Joseph Alexander Bellisimo of which Mr. Prim is the sole trustee.
- F9Each deferred stock unit has a value as of a given date equal to the fair market value of one share of PRMW common stock.