SEC Form 4 · accession 0001209191-17-005904
Primo Water Corp · PRMW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David J Mills
Officer — Vice President Finance
Period of report
Jan 25, 2017
Accepted (ET)
Jan 27, 2017 · 4:32 pm EST
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 | Jan 25, 2017 | M | 28,982 | $0.00 | A | 45,333 | D | |
| Common StockF2 | Jan 25, 2017 | F | 12,906 | $0.00 | D | 32,427 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Stock UnitsF3,F4 | — | Jan 25, 2017 | M | 28,982 | D | — | — | Common Stock | 28,982 | 115,928 | D |
Explanation of responses
- F1Represents shares of common stock received upon vesting of deferred stock units on January 25, 2017.
- F2Shares withheld to satisfy tax withholding requirements on the vesting of deferred stock units on January 25, 2017.
- F3Each deferred stock unit has a value as of a given date equal to the fair market value of one share of Primo Water Corporation common stock.
- F428,982 deferred stock units were delivered on January 25, 2017. The remaining 115,928 deferred stock units are to be delivered in equal annual installments in January of each of 2018, 2019, 2020 and 2021.