SEC Form 4 · accession 0001209191-17-037193
Primo Water Corp · PRMW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David W. Hass
Officer — Chief Strategy Officer
Period of report
May 31, 2017
Accepted (ET)
Jun 2, 2017 · 4:12 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 Stock | holding | — | — | — | 80,245 | D | ||
| Common StockF1 | holding | — | — | — | 4,750 | I | See Footnote | |
| Common StockF2 | holding | — | — | — | 16,401 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF3,F4 | — | May 31, 2017 | A | 8,000 | A | — | — | Common Stock | 8,000 | 8,000 | D |
Explanation of responses
- F1These shares of common stock are owned by HB Capital LLC, of which David Hass is a member. Mr. Hass may be deemed an indirect beneficial owner of the securities held directly by HB Capital LLC. Mr. Hass disclaims beneficial ownership of the securities held directly by HB Capital LLC, except to the extent of his pecuniary interest therein.
- F2Held by David W. Hass Living Trust, of which David Hass is a trustee.
- F3Each restricted stock unit represents a contingent right to receive one share of common stock.
- F4These restricted stock units vest in equal annual installments on May 31 of each of 2018, 2019, 2020 and 2021.