SEC Form 4 · accession 0001209191-19-005415

Primo Water Corp · PRMW

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Strategy Officer

Period of report

Jan 23, 2019

Accepted (ET)

Jan 25, 2019 · 5:58 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 Stock^F1	Jun 29, 2018	A	1,186	$10.68	A	111,493	D
Common Stock^F1	Dec 31, 2018	A	802	$10.68	A	112,295	D
Common Stock^F2	Jan 23, 2019	M	29,095	$0.00	A	141,390	D
Common Stock^F2	Jan 23, 2019	M	16,620	$0.00	A	158,010	D
Common Stock^F3	Jan 23, 2019	F	19,165	$13.88	D	138,845	D
Common Stock^F4	holding	—	—		—	16,901	I	See Footnote
Common Stock^F5	holding	—	—		—	5,250	I	See Footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Deferred Stock Units^F6,F7	—	Jan 23, 2019	M	29,095	D	—	—	Common Stock	29,095	58,191	D
Deferred Stock Units^F6,F8	—	Jan 23, 2019	M	16,620	D	—	—	Common Stock	16,620	33,240	D

F1These shares were acquired under the Primo Water Corporation Employee Stock Purchase Plan, as amended, in transactions that were exempt under both Rule 16b-3(c) and Rule 16b-3(d).
F2Represents shares of common stock received upon vesting of deferred stock units on January 23, 2019.
F3Shares withheld to satisfy tax withholding requirements on the vesting of deferred stock units on January 23, 2019.
F4Held by David W. Hass Living Trust, of which David Hass is a trustee.
F5These 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.
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.
F729,095 deferred stock units were delivered on January 23, 2019. The remaining 58,191 deferred stock units are to be delivered in equal annual installments in January of each of 2020 and 2021.
F816,620 deferred stock units were delivered on January 23, 2019. The remaining 33,240 deferred stock units are to be delivered in equal annual installments in January of each of 2020 and 2021.