SEC Form 4/A · accession 0001179110-18-010853
PetIQ, Inc. · PETQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Will Santana
Officer — Executive Vice President · Director
Period of report
Jul 31, 2018
Accepted (ET)
Aug 23, 2018 · 7:19 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001668673
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF2 | Jul 31, 2018 | C | 40,000 | $0.00 | A | 40,000 | I | See Footnote |
| Class A Common StockF4,F2 | Aug 9, 2018 | S | 10,000 | $27.26 | D | 30,000 | I | See Footnote |
| Class A Common StockF5,F2 | Aug 10, 2018 | S | 10,000 | $27.01 | D | 20,000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF2,F6 | — | Jul 31, 2018 | C | 40,000 | D | — | — | Class A Common Stock | 40,000 | 2,060,000 | I |
Explanation of responses
- F1Represents the conversion of Class B Common Stock in to Class A Common Stock held of record by the Reporting Person.
- F2The shares of Class B Common Stock are held by VIP Petcare Holdings, Inc. Mr. Santana holds 50% of the equity interests of VIP Petcare Holdings, Inc.
- F3The sale reported in this Form 4 was effectuated pursuant to a pre-established Rule 10b5-1 trading plan adopted by the reporting person.
- F4The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.84 to $27.56, inclusive. The reporting person undertakes to provide to PetIQ, Inc., any security holder of PetIQ, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (4) to this Form 4.
- F5The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.71 to $27.58, inclusive. The reporting person undertakes to provide to PetIQ, Inc., any security holder of PetIQ, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (5) to this Form 4.
- F6Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
Remarks
This report on Form 4/A amends and replaces in its entirety the Form 4 filed by the Reporting Person on August 13, 2018. This transaction correctly reported the sale of shares on the original Form 4 filed on August 13, 2018, however, incorrectly reported the exchange of derivative securities.