SEC Form 4 · accession 0001209191-17-022326
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
Mar 10, 2017
Accepted (ET)
Mar 22, 2017 · 4:50 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 10, 2017 | F | 1,144 | $14.33 | D | 31,283 | D | |
| Common StockF2 | Mar 20, 2017 | A | 463 | $0.00 | A | 31,746 | D | |
| Common StockF3 | Mar 20, 2017 | F | 159 | $14.03 | D | 31,587 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF4,F5 | — | Mar 20, 2017 | A | 4,000 | A | — | — | Common Stock | 4,000 | 4,000 | D |
| Deferred Stock UnitsF6,F7 | — | Mar 20, 2017 | A | 69,120 | A | — | — | Common Stock | 69,120 | 69,120 | D |
Explanation of responses
- F1Shares withheld to satisfy tax withholding requirements on the vesting of restricted stock units on March 10, 2017.
- F2These restricted stock units may only be settled in stock and vest immediately.
- F3Shares withheld to satisfy tax withholding requirements on the vesting of restricted stock units on March 20, 2017.
- F4Each restricted stock unit represents a contingent right to receive one share of common stock.
- F5These restricted stock units vest in equal annual installments on March 20 of 2018, 2019 and 2020.
- F6Each 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.
- F7Represents deferred stock units granted on March 20, 2017 in connection with the achievement of the second adjusted EBITDA target under the Primo Water Corporation Amended and Restated Value Creation Plan. These deferred stock units are to be delivered in January 2018.