SEC Form 4 · accession 0001140361-18-002574
PetIQ, Inc. · PETQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
McCord Christensen
Officer — Chief Executive Officer · Director
Period of report
Jan 17, 2018
Accepted (ET)
Jan 19, 2018 · 2:48 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001668673
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF3,F2 | $0.00 | Jan 17, 2018 | J | 18,481 | A | — | — | Class A Common Stock | 18,480 | 828,055 | I |
Explanation of responses
- F1The shares were received as a pro rata distribution from Christensen Class F, LLC, of which Mr. Christensen is a non-managing member.
- F2The shares of Class B Common Stock are convertible for shares of the Issuer's Class A Common Stock as described under the heading "The Transactions - Exchange Rights" in the Issuer's registration statement on Form S-1 (File No. 333-218955) and have no expiration date.
- F3The shares are held by Christensen Ventures, LLC ("Ventures"). Mr. Christensen is the manager of Ventures and exercises voting and investment control over all shares held by Ventures.