Sec Form 4 Filing - PRIM BILLY D @ Primo Water Corp - 2017-03-10

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
PRIM BILLY D
2. Issuer Name and Ticker or Trading Symbol
Primo Water Corp [ PRMW]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chairman, CEO and President
(Last) (First) (Middle)
101 NORTH CHERRY STREET, SUITE 501
3. Date of Earliest Transaction (MM/DD/YY)
03/10/2017
(Street)
WINSTON-SALEM, NC27101
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/10/2017 F 1,839 ( 1 ) D $ 14.33 2,354,253 D
Common Stock 03/20/2017 A 2,549 ( 2 ) A $ 0 2,356,802 D
Common Stock 03/20/2017 F 875 ( 3 ) D $ 14.03 2,355,927 D
Common Stock 8,032 I See Footnote ( 4 )
Common Stock 4,791 I See Footnote ( 5 )
Common Stock 4,791 I See Footnote ( 6 )
Common Stock 23,957 I See Footnote ( 7 )
Common Stock 23,957 I See Footnote ( 8 )
Common Stock 4,791 I See Footnote ( 9 )
Common Stock 4,791 I See Footnote ( 10 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Restricted Stock Units ( 11 ) 03/20/2017 A 9,000 ( 12 ) ( 12 ) Common Stock 9,000 $ 0 9,000 D
Deferred Stock Units ( 13 ) 03/20/2017 A 414,725 ( 14 ) ( 14 ) Common Stock 414,725 $ 0 414,725 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
PRIM BILLY D
101 NORTH CHERRY STREET
SUITE 501
WINSTON-SALEM, NC27101
X Chairman, CEO and President
Signatures
/s/ David J. Mills by power of attorney for Billy D. Prim 03/22/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Shares withheld to satisfy tax withholding requirements on the vesting of restricted stock units on March 10, 2017.
( 2 )These restricted stock units may only be settled in stock and vest immediately.
( 3 )Shares withheld to satisfy tax withholding requirements on the vesting of restricted stock units on March 20, 2017.
( 4 )Held by Mr. Prim's spouse.
( 5 )Held by Billy D. Prim Revocable Trust of which Mr. Prim is the sole trustee.
( 6 )Held by BD Prim, LLC of which Mr. Prim is the sole manager.
( 7 )Held by 2010 Irrevocable Trust fbo Sarcanda Westmoreland Bellisimo of which Mr. Prim is the sole trustee.
( 8 )Held by 2010 Irrevocable Trust fbo Anthony Gray Westmoreland of which Mr. Prim is the sole trustee.
( 9 )Held by 2010 Irrevocable Trust fbo Jager Gralyn Dean Bellisimo of which Mr. Prim is the sole trustee.
( 10 )Held by 2010 Irrevocable Trust fbo Joseph Alexander Bellisimo of which Mr. Prim is the sole trustee.
( 11 )Each restricted stock unit represents a contingent right to receive one share of common stock.
( 12 )These restricted stock units vest in equal annual installments on March 20 of 2018, 2019 and 2020.
( 13 )Each 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.
( 14 )Represents deferred stock units granted on March 20, 2017 in connection with the achievement of the second adjusted EBITDA target under the Primo Water Corporation Amended and Restated Value Creation Plan. These deferred stock units are to be delivered in equal annual installments in January of each of 2018, 2019, 2020, 2021 and 2022.

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