-----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, LHvAUPqJ8spuw4ko9hO59UyEoGqroCoMbMDQxTUcI5sFT52M2sNC2Ztmu51OXxoY wREKHkST8aLWXXjqakn4Qg== 0000909954-09-000058.txt : 20091002 0000909954-09-000058.hdr.sgml : 20091002 20091002103043 ACCESSION NUMBER: 0000909954-09-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090930 FILED AS OF DATE: 20091002 DATE AS OF CHANGE: 20091002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER HINDA CENTRAL INDEX KEY: 0001224775 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 091100629 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 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-09-30 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC gmcr 0001224775 MILLER HINDA C/O GREEN MOUNTAIN COFFEE ROASTERS INC 33 COFFEE LANE WATERBURY VT 05676 1 0 0 0 GMCR Phantom Stock Units 2009-09-30 4 A 0 128.66 73.84 A 2009-09-30 GMCR Common Stock 128.66 6749.62 D 1 for 1. On 09/30/2009, Ms. Miller acquired 128.66 units of Phantom Stock at a unit price of $73.84 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/ Valerie Jennings pursuant to a power of attorney 2009-10-02 -----END PRIVACY-ENHANCED MESSAGE-----