0001181431-12-029694.txt : 20120514 0001181431-12-029694.hdr.sgml : 20120514 20120514162826 ACCESSION NUMBER: 0001181431-12-029694 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120511 FILED AS OF DATE: 20120514 DATE AS OF CHANGE: 20120514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MORTENSEN THOMAS W CENTRAL INDEX KEY: 0001546236 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34249 FILM NUMBER: 12839053 MAIL ADDRESS: STREET 1: 20333 S. NORMANDIE AVE CITY: TORRANCE STATE: CA ZIP: 90502 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FARMER BROTHERS CO CENTRAL INDEX KEY: 0000034563 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 950725980 STATE OF INCORPORATION: CA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 20333 S NORMANDIE AVE CITY: TORRANCE STATE: CA ZIP: 90502 BUSINESS PHONE: 3107875200 MAIL ADDRESS: STREET 1: 20333 SOUTH NORMANDIE AVENUE CITY: TORRANCE STATE: CA ZIP: 90502 4 1 rrd345030.xml GRANT IN MAY 2012 PURSUANT TO EMPLOYMENT AGREEMENT X0305 4 2012-05-11 0 0000034563 FARMER BROTHERS CO FARM 0001546236 MORTENSEN THOMAS W 20333 S. NORMANDIE AVE. TORRANCE CA 90502 0 1 0 0 SR. VICE PRES.OF ROUTE SALES Common Stock $1.00 par value 2012-05-11 4 A 0 10000 6.96 A 20256 D Stock Option (right tobuy) 6.96 2012-05-11 4 A 0 20000 0 A 2019-05-11 Common Stock 20000 35105 D Grant of restricted stock under the 2007 Omnibus Plan pursuant to employment agreement dated April 4, 2012; 100% of the shares will vest on May 11, 2015, subject to acceleration provisions of the 2007 Omnibus Plan and restricted stock agreement. Grant of non-qualified stock option under the 2007 Omnibus Plan pursuant to employment agreement dated April 4, 2012; the stock option vests pursuant to a three year vesting schedule, whereby one-third of the total number of shares issuable under the option becomes exercisable each year on the anniversary of the grant date subject to acceleration provisions of the 2007 Omnibus Plan and stock option agreement. /s/ Jeffrey A. Wahba, Attorney-In-Fact 2012-05-14