-----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, HR7BjwNwuXNTRRFdx4IBHD3IqgLr4JK532UD0JRqBuDWrLa8DOyPnggLWK6xUULn 9sWs6PsM1XsgOYfQHbq0lg== 0000909954-10-000055.txt : 20101102 0000909954-10-000055.hdr.sgml : 20101102 20101102154037 ACCESSION NUMBER: 0000909954-10-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101029 FILED AS OF DATE: 20101102 DATE AS OF CHANGE: 20101102 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: 101158169 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 2010-10-29 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 2010-10-29 4 A 0 151.56 32.99 A 2010-10-29 GMCR Common Stock 151.56 25390 D 1 for 1 On 10/29/2010, Ms. Carlini acquired 151.56 units of Phantom Stock at a unit price of $32.99 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 2010-11-02 -----END PRIVACY-ENHANCED MESSAGE-----