-----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, G2vlli3/NTRRf5eXN1RWzojIf04Voz7c/GhO66a/6IwfMqCH9z4GqETA2kaH58zi xsEwaY1ioJreUKESS6pFjA== 0000909954-08-000067.txt : 20081201 0000909954-08-000067.hdr.sgml : 20081201 20081201155821 ACCESSION NUMBER: 0000909954-08-000067 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081128 FILED AS OF DATE: 20081201 DATE AS OF CHANGE: 20081201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS WILLIAM D CENTRAL INDEX KEY: 0001224777 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 081222350 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: 0929 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0303 4/A 2008-11-28 2008-12-01 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC gmcr 0001224777 DAVIS WILLIAM D C/O GREEN MOUNTAIN COFFEE ROASTERS INC 33 COFFEE LANE WATERBURY VT 05676 1 0 0 0 GMCR Common Stock 2008-11-28 4 P 0 300 36.21 A 196103 D GMCR Common Stock 2008-11-28 4 P 0 200 36.22 A 196303 D GMCR Common Stock 2008-11-28 4 P 0 200 36.3 A 196503 D GMCR Common Stock 2008-11-28 4 P 0 300 36.33 A 196803 D GMCR Common Stock 2008-11-28 4 P 0 400 36.34 A 197203 D GMCR Common Stock 2008-11-28 4 P 0 100 36.35 A 197303 D GMCR Common Stock 2008-11-28 4 P 0 1500 36.55 A 9387 I spouse GMCR Phantom Stock Units 2008-11-28 4 A 0 27.55 36.3 A 2008-11-28 GMCR Common Stock 27.55 6894.68 D On the original form 4, the balance was incorrect. 1 for 1. On 11/28/2008, Mr. Davis acquired 27.55 units of Phantom Stock at a unit price of $36.30 as a result of fee deferral. Distribution are made under the Deferred Compensation Plan at the time of the participant's death, disability or termination of services. /s/ William D. Davis 2008-12-01 -----END PRIVACY-ENHANCED MESSAGE-----