0001360530-17-000069.txt : 20170706 0001360530-17-000069.hdr.sgml : 20170706 20170706161635 ACCESSION NUMBER: 0001360530-17-000069 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170703 FILED AS OF DATE: 20170706 DATE AS OF CHANGE: 20170706 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vitamin Shoppe, Inc. CENTRAL INDEX KEY: 0001360530 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FOOD STORES [5400] IRS NUMBER: 113664322 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: THE VITAMIN SHOPPE STREET 2: 300 HARMON MEADOW BLVD. CITY: SECAUCUS STATE: NJ ZIP: 07094 BUSINESS PHONE: 2018685959 MAIL ADDRESS: STREET 1: THE VITAMIN SHOPPE STREET 2: 300 HARMON MEADOW BLVD. CITY: SECAUCUS STATE: NJ ZIP: 07094 FORMER COMPANY: FORMER CONFORMED NAME: VS HOLDINGS, INC. DATE OF NAME CHANGE: 20060425 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dolgin Tracy Scott CENTRAL INDEX KEY: 0001702260 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34507 FILM NUMBER: 17952273 MAIL ADDRESS: STREET 1: VITAMIN SHOPPE, INC. STREET 2: 300 HARMON MEADOW BLVD. CITY: SECAUCUS STATE: NJ ZIP: 07094 4 1 wf-form4_149937218157001.xml FORM 4 X0306 4 2017-07-03 0 0001360530 Vitamin Shoppe, Inc. VSI 0001702260 Dolgin Tracy Scott C/O VITAMIN SHOPPE, INC. 300 HARMON MEADOW BLVD. SECAUCUS NJ 07094 1 0 0 0 Common Stock 2017-07-03 4 A 0 5882 11.90 A 6452 D These shares are restricted stock units that were issued pursuant to the Registrant's 2009 Equity Incentive Plan, as amended, as the annual award to directors pursuant to the Director Compensation Plan and Stock Ownership Guidelines. Each restricted stock unit represents a contingent right to receive one share of common stock. Restricted stock units vest in four equal quarterly installments on October 2, 2017, January 2, 2018, April 2, 2018 and July 2, 2018. /s/ David M. Kastin, as Attorney-In-Fact 2017-07-06