-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WIGak4eL0PpooEjOENb2HS0xz3BHpHvm3Dx6qua27oEQlkOdAcb03RwtdTprTrVs PlYy2qB1331OhLgTVROGtA== 0000909954-04-000055.txt : 20040929 0000909954-04-000055.hdr.sgml : 20040929 20040929090233 ACCESSION NUMBER: 0000909954-04-000055 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040925 FILED AS OF DATE: 20040929 DATE AS OF CHANGE: 20040929 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McCreary Richard Scott CENTRAL INDEX KEY: 0001304561 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 041051233 BUSINESS ADDRESS: BUSINESS PHONE: (802) 244 5621 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GREEN MOUNTAIN COFFEE ROASTERS INC CENTRAL INDEX KEY: 0000909954 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 030339228 STATE OF INCORPORATION: DE FISCAL YEAR END: 0928 BUSINESS ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 BUSINESS PHONE: 8022445621 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 FORMER COMPANY: FORMER CONFORMED NAME: GREEN MOUNTAIN COFFEE INC DATE OF NAME CHANGE: 19930729 3 1 primary_doc.xml PRIMARY DOCUMENT X0202 3 2004-09-25 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC gmcr 0001304561 McCreary Richard Scott 33 COFFEE LANE WATERBURY VT 05676 0 1 0 0 Chief Operating Officer Stock Options 19.76 2014-09-25 GMCR Common Stock 50000 D Vest in four equal annual installments, with the first fourth of the shares vesting one year from grant date, on 09/25/2005. /s/ Richard Scott McCreary 2004-09-28 -----END PRIVACY-ENHANCED MESSAGE-----