-----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, P+A4SHG8/10r9+kLQzjCgN+uGSP4iB97+7K7vU2zA4A3gB1EZjUI7r+EHgvvXEqr M2W8vt4O4cqMJZrY8qiCOw== 0000909954-05-000027.txt : 20050611 0000909954-05-000027.hdr.sgml : 20050611 20050601151656 ACCESSION NUMBER: 0000909954-05-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050531 FILED AS OF DATE: 20050601 DATE AS OF CHANGE: 20050601 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: CARLINI BARBARA D CENTRAL INDEX KEY: 0001224778 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 05870485 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-05-31 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 2005-05-31 4 A 0 30.06 33.27 A 2005-05-31 GMCR Common Stock 30.06 196.79 D 1 FOR 1 On 5/31/2005, Ms. Carlini acquired 30.06 phantom stock units at a price of $33.27 as a result of fee deferral. Distributions are made under the Deferred Compensation Plan at the time of the participant's death, disability or termination of services. /s/ Barbara Carlini 2005-06-01 -----END PRIVACY-ENHANCED MESSAGE-----