Edgar Filing: CD&R INVESTMENT ASSOCIATES VI INC

Ownership Submission

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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(Print or Type Responses)

1. Name and Address of Reporting Person ^*

Â CULLIGAN INTERNATIONAL Co

2. Date of Event Requiring Statement (Month/Day/Year)
11/22/2010

3. Issuer Name and Ticker or Trading Symbol
Primo Water Corp [PRMW]

(Last)

(First)

(Middle)

9399 WEST HIGGINS ROAD,Â SUITE 1100

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

_____ Director	__X__ 10% Owner
_____ Officer (give title below)	_____ Other (specify below)

5. If Amendment, Date Original Filed(Month/Day/Year)

(Street)

ROSEMONT,Â ILÂ 60018

6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Beneficially Owned

1.Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	2,587,500	D	Â
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾
Common Stock	2,587,500	I	See Footnote ⁽¹⁾

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.			SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
CULLIGAN INTERNATIONAL Co 9399 WEST HIGGINS ROAD SUITE 1100 ROSEMONT,Â ILÂ 60018	Â	Â X	Â	Â
CULLIGAN HOLDING INC. C/O CULLIGAN INTERNATIONAL COMPANY 9399 WEST HIGGINS ROAD, SUITE 1100 ROSEMONT,Â ILÂ 60018	Â	Â X	Â	Â
CULLIGAN HOLDING Co B.V. C/O CULLIGAN INTERNATIONAL COMPANY 9399 WEST HIGGINS ROAD, SUITE 1100 ROSEMONT,Â ILÂ 60018	Â	Â X	Â	Â
CULLIGAN HOLDING S.AR.L. C/O CULLIGAN INTERNATIONAL COMPANY 9399 WEST HIGGINS ROAD, SUITE 1100 ROSEMONT,Â ILÂ 60018	Â	Â X	Â	Â
CULLIGAN INTERNATIONAL S.AR.L. C/O CULLIGAN INTERNATIONAL COMPANY 9399 WEST HIGGINS ROAD, SUITE 1100 ROSEMONT,Â ILÂ 60018	Â	Â X	Â	Â
CULLIGAN INVESTMENTS S.AR.L. C/O CULLIGAN INTERNATIONAL COMPANY 9399 WEST HIGGINS ROAD, SUITE 1100 ROSEMONT,Â ILÂ 60018	Â	Â X	Â	Â
CULLIGAN LTD. CANON'S COURT 22 VICTORIA STREET HAMILTON,Â D0Â HM 12	Â	Â X	Â	Â
CLAYTON DUBILIER & RICE FUND VI L P UGLAND HOUSE 113 SOUTH CHURCH STREET GEORGE TOWN,Â E9Â BWI	Â	Â X	Â	Â
CD&R ASSOCIATES VI L P UGLAND HOUSE 113 SOUTH CHURCH STREET GEORGE TOWN,Â E9Â BWI	Â	Â X	Â	Â
CD&R INVESTMENT ASSOCIATES VI INC UGLAND HOUSE 113 SOUTH CHURCH STREET GEORGE TOWN,Â E9Â BWI	Â	Â X	Â	Â

Signatures

Culligan International Company by /s/ Susan E. Bennett, Senior Vice President, General Counsel & Secretary		12/02/2010
^**Signature of Reporting Person		Date
Culligan Holding Inc. by /s/ Susan E. Bennett, Senior Vice President, General Counsel & Secretary		12/02/2010
^**Signature of Reporting Person		Date
Culligan Holding Company B.V. by /s/ Mark A. Seals, Managing Director A		12/02/2010
^**Signature of Reporting Person		Date
Culligan Holding S.??r.l. by /s/ Susan E. Bennett, Manager		12/02/2010
^**Signature of Reporting Person		Date
Culligan International S.??r.l. by /s/ Susan E. Bennett, Manager		12/02/2010
^**Signature of Reporting Person		Date
Culligan Investments S.??r.l. by /s/ Susan E. Bennett, Manager		12/02/2010
^**Signature of Reporting Person		Date
Culligan Ltd. by /s/ Susan E. Bennett, Senior Vice President, General Counsel & Assistant Secretary		12/02/2010
^**Signature of Reporting Person		Date
See (a) in Remarks below		12/02/2010
^**Signature of Reporting Person		Date
See (b) in Remarks below		12/02/2010
^**Signature of Reporting Person		Date
See (c) in Remarks below		12/02/2010
^**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 5(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	Reflects shares held directly by Culligan International Company. Culligan International Company is a wholly-owned subsidiary of Culligan Holding Inc., which is a wholly-owned subsidiary of Culligan Holding Company B.V., which is a wholly-owned subsidiary of Culligan Holding S.??r.l., which is a wholly-owned subsidiary of Culligan International S.??r.l., which is a wholly-owned subsidiary of Culligan Investments S.??r.l., which is a wholly-owned subsidiary of Culligan Ltd. Clayton, Dubilier & Rice Fund VI Limited Partnership owns approximately 77.8% of the outstanding voting securities of Culligan Ltd. CD&R Associates VI Limited Partnership is the general partner of Clayton, Dubilier & Rice Fund VI Limited Partnership, and CD&R Investment Associates VI, Inc. is the general partner of CD&R Associates VI Limited Partnership. Each of CD&R Associates VI Limited Partnership and CD&R Investment Associates VI, Inc. expressly disclaims beneficial ownership of the shares held directly by Culligan.
Â Remarks: (a)Â Clayton,Â DubilierÂ &Â RiceÂ FundÂ VIÂ LimitedÂ PartnershipÂ byÂ CD&RÂ AssociatesÂ VIÂ LimitedÂ Partnership,Â itsÂ generalÂ partner,Â byÂ CD&RÂ InvestmentÂ AssociatesÂ VI,Â Inc.,Â itsÂ generalÂ partner,Â byÂ /s/Â TheresaÂ A.Â Gore,Â ViceÂ President,Â TreasurerÂ andÂ AssistantÂ Secretary (b)Â CD&RÂ AssociatesÂ VIÂ LimitedÂ PartnershipÂ byÂ CD&RÂ InvestmentÂ AssociatesÂ VI,Â Inc.,Â itsÂ generalÂ partner,Â byÂ /s/Â TheresaÂ A.Â Gore,Â ViceÂ President,Â TreasurerÂ andÂ AssistantÂ Secretary (c)Â CD&RÂ InvestmentÂ AssociatesÂ VI,Â Inc.Â byÂ /s/Â TheresaÂ A.Â Gore,Â ViceÂ President,Â TreasurerÂ andÂ AssistantÂ Secretary

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