Statement of Changes in Beneficial Ownership (4)
2020年5月13日 - 5:41AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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FOWDEN JEREMY S G |
2. Issuer Name and Ticker or Trading Symbol
Primo Water Corp /CN/
[
PRMW
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
C/O PRIMO WATER CORPORATION, 4221 WEST BOY SCOUT BOULEVARD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/8/2020 |
(Street)
TAMPA, FL 33607
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Shares | 5/8/2020 | | A | | 10610 (1) | A | $11.31 | 1277830 | D | |
Common Shares | 5/8/2020 | | A | | 1349 (2) | A | $8.77 | 1279179 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Common Shares were issued pursuant to the Amended and Restated Primo Water Corporation Equity Incentive Plan (the "Plan") in payment of the reporting person's annual director fee. The number of shares was calculated by dividing $120,000 (the cash amount of the annual director fee) by $11.31 (the closing price of the Common Shares on the New York Stock Exchange on May 8, 2020). |
(2) | Additional Common Shares were issued pursuant to the Plan in payment of the reporting person's annual director fee for services rendered to the Board of Directors from March 29, 2020, the date the reporting person transitioned from Executive Chairman to Chairman of the Board of Directors, to May 5, 2020, the date of the 2020 Annual Meeting of Shareowners. The number of shares was calculated by pro-rating $120,000 (the cash amount of the annual director fee) for the period of service and dividing the resulting figure by $8.77 (the closing price of the Common Shares on the New York Stock Exchange on March 27, 2020). |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
FOWDEN JEREMY S G C/O PRIMO WATER CORPORATION 4221 WEST BOY SCOUT BOULEVARD TAMPA, FL 33607 | X |
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Signatures
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/s/ Marni Morgan Poe, Attorney-in-Fact | | 5/12/2020 |
**Signature of Reporting Person | Date |
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