-----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, FrAl++Sa27QcyYpiXEdBf/h+slIiEl10b955SSszPCbPx3fQxp2Gc9lI2yJa+lKe Rja7PcrBt/XtOAG8xZDN0w== 0000909954-05-000020.txt : 20050401 0000909954-05-000020.hdr.sgml : 20050401 20050401110502 ACCESSION NUMBER: 0000909954-05-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050331 FILED AS OF DATE: 20050401 DATE AS OF CHANGE: 20050401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLINI BARBARA D CENTRAL INDEX KEY: 0001224778 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 05723475 BUSINESS ADDRESS: BUSINESS PHONE: 8022445621 MAIL ADDRESS: STREET 1: C/O GREEN MOUNTAIN COFFEE ROASTERS INC STREET 2: 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-03-31 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC gmcr 0001224778 CARLINI BARBARA D C/O GREEN MOUNTAIN COFFEE ROASTERS INC 33 COFFEE LANE WATERBURY VT 05676 1 0 0 0 GMCR PHANTOM STOCK UNITS 2005-03-31 4 A 0 166.74 23.99 A 2005-03-31 Common Stock 166.74 166.74 D 1 FOR 1 On March 31, 2005, Ms. Carlini acquired 166.74 phantom stock units at a price of $23.99 as a result of fee deferral under the Company's 2002 Deferred Compensation Plan. Distributions are made under the Plan following the participant's death, disability or termination of service. Distributions are payable in a lump sum or in no more than 15 annual installments, at the election of the participant. /s/ Barbara Carlini 2005-04-01 -----END PRIVACY-ENHANCED MESSAGE-----