SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Horowitz Jeffrey

(Last) (First) (Middle)
C/O FRIED FRANK ET AL
ONE NEW YORK PLAZA

(Street)
NEW YORK NY 10004

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Vitamin Shoppe, Inc. [ VSI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/02/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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(2) 11/02/2009 S(1) 558,326 D $17 0 D(2)(8)
Series A Preferred Stock(2) 11/02/2009 S(6) 1,593.77 D $1,731.19 0 D(2)(8)
Series A Preferred Stock(2) 11/02/2009 J(7) 1,406.23 D (7) 0 D(2)(8)
Common Stock(2) 11/02/2009 J(7) 143,203 A (7) 143,203 D(2)(8)
Common Stock(3) 11/02/2009 S(1) 558,326 D $17 0 I(3)(8) See footnotes(1)(3)(8)
Series A Preferred Stock(3) 11/02/2009 S(6) 1,593.77 D $1,731.19 0 I(3)(8) See footnotes(3)(6)(8)
Series A Preferred Stock(3) 11/02/2009 J(7) 1,406.23 D (7) 0 I(3)(8) See footnotes(3)(7)(8)
Common Stock(3) 11/02/2009 J(7) 143,203 A (7) 143,203 I(3)(8) See footnotes(3)(7)(8)
Common Stock(4) 11/02/2009 S(1) 139,582 D $17 0 I(4)(8) See footnotes(1)(4)(8)
Series A Preferred Stock(4) 11/02/2009 S(6) 398.44 D $1,731.19 0 I(4)(8) See footnotes(4)(6)(8)
Series A Preferred Stock(4) 11/02/2009 J(7) 351.56 D (7) 0 I(4)(8) See footnotes(4)(7)(8)
Common Stock(4) 11/02/2009 J(7) 35,800 A (7) 35,800 I(4)(8) See footnotes(4)(7)(8)
Common Stock(5) 11/02/2009 S(1) 139,582 D $17 0 I(5)(8) See footnotes(1)(5)(8)
Series A Preferred Stock(5) 11/02/2009 S(6) 398.44 D $1,731.19 0 I(5)(8) See footnotes(5)(6)(8)
Series A Preferred Stock(5) 11/02/2009 J(7) 351.56 D (7) 0 I(5)(8) See footnotes(5)(7)(8)
Common Stock(5) 11/02/2009 J(7) 35,800 A (7) 35,800 I(5)(8) See footnotes(5)(7)(8)
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 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: 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
1. Name and Address of Reporting Person*
Horowitz Jeffrey

(Last) (First) (Middle)
C/O FRIED FRANK ET AL
ONE NEW YORK PLAZA

(Street)
NEW YORK NY 10004

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Horowitz Helen

(Last) (First) (Middle)
C/O FRIED, FRANK ET AL
ONE NEW YORK PLAZA

(Street)
NEW YORK NY 10004

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Jeffrey Horowitz April 1996 GRAT

(Last) (First) (Middle)
C/O FRIED, FRANK ET AL
ONE NEW YORK PLAZA

(Street)
NEW YORK NY 10004

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Helen Horowitz April 1996 GRAT

(Last) (First) (Middle)
C/O FRIED, FRANK ET AL
ONE NEW YORK PLAZA

(Street)
NEW YORK NY 10004

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. See Exhibit 99.1 for text of footnote 1.
2. See Exhibit 99.1 for text of footnote 2.
3. See Exhibit 99.1 for text of footnote 3.
4. See Exhibit 99.1 for text of footnote 4.
5. See Exhibit 99.1 for text of footnote 5.
6. See Exhibit 99.1 for text of footnote 6.
7. See Exhibit 99.1 for text of footnote 7.
8. See Exhibit 99.1 for text of footnote 8.
Remarks:
Exhibit 99.1 - Explanation of Resonses
/s/ Jeffrey Horowitz 02/23/2010
/s/ Helen Horowitz 02/23/2010
/s/ Jeffrey Horowitz, as Trustee - Jeffrey Horowitz April 1996 GRAT 02/23/2010
/s/ Helen Horowitz, as Trustee - Jeffrey Horowitz April 1996 GRAT 02/23/2010
/s/ Jeffrey Horowitz, as Trustee - Helen Horowitz April 1996 GRAT 02/23/2010
/s/ Helen Horowitz, as Trustee - Helen Horowitz April 1996 GRAT 02/23/2010
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
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