-----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, AppIrx5c9K70VDBjmvUjA2f11ZiATAzIClNV/UxzSO3nfBK2KqhFXYN89tYAc7W/ A8lNWOQoEdlMwQVSAqp1XQ== 0000909954-10-000052.txt : 20101004 0000909954-10-000052.hdr.sgml : 20101004 20101004130620 ACCESSION NUMBER: 0000909954-10-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100930 FILED AS OF DATE: 20101004 DATE AS OF CHANGE: 20101004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAFT DOUGLAS N CENTRAL INDEX KEY: 0001019420 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 101104788 MAIL ADDRESS: STREET 1: C/O GREEN MOUNTAIN COFFEE 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 2010-09-30 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC GMCR 0001019420 DAFT DOUGLAS N C/O GREEN MOUNTAIN COFFEE 33 COFFEE LANE WATERBURY VT 05676 1 0 0 0 GMCR Phantom Stock Units 2010-09-30 4 A 0 344.66 31.19 A 2010-09-30 GMCR Common Stock 344.66 1387 D 1 for 1 On 9/30/2010, Mr. Daft acquired 344.66 units of Phantom Stock at a unit price of $31.19 as a result of fee deferral. Distribution is 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 2010-10-04 -----END PRIVACY-ENHANCED MESSAGE-----