SEC Form 4 · accession 0001179110-19-000308
PetIQ, Inc. · PETQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Will Santana
Officer — Executive Vice President · Director
Period of report
Dec 31, 2018
Accepted (ET)
Jan 3, 2019 · 5:32 pm EST
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 | Dec 31, 2018 | C | 40,000 | $0.00 | A | 49,400 | 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,F3 | — | Dec 31, 2018 | C | 40,000 | D | — | — | Class A Common Stock | 40,000 | 119,683 | I |
Explanation of responses
- F1Represents the conversion of Class B Common Stock into 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.
- F3Each 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.