-----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, G2IWEg/AdoFo6lJbyPmESDeRekJTDtB4mVO0bc1uIqH5QUY9eB56MA3rQcDf9kZW rEFmiLeRgccLsn5BQuaz4Q== 0000909954-05-000025.txt : 20050516 0000909954-05-000025.hdr.sgml : 20050516 20050516164535 ACCESSION NUMBER: 0000909954-05-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050513 FILED AS OF DATE: 20050516 DATE AS OF CHANGE: 20050516 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PREVO JAMES K CENTRAL INDEX KEY: 0001096214 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] STATE OF INCORPORATION: DE FISCAL YEAR END: 0928 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 05835223 BUSINESS ADDRESS: STREET 1: C/O GREEN MOUNTAIN COFFEE INC STREET 2: 33 COFFEE LN CITY: WATERBURY STATE: VT ZIP: 05676 BUSINESS PHONE: 8022445621 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-05-13 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC GMCR 0001096214 PREVO JAMES K 33 COFFEE LANE WATERBURY VT 05676 0 1 0 0 Chief Information Officer gmcr common stock 2005-05-13 4 M 0 1000 2.813 A 10475 D gmcr common stock 2005-05-13 4 S 0 1000 29.65 D 9475 D gmcr stock options 2.813 2005-05-13 4 M 0 1000 0 D 2003-01-08 2009-01-08 gmcr common stock 1000 75500 D /s/ James K. Prevo 2005-05-16 -----END PRIVACY-ENHANCED MESSAGE-----