0000909954-11-000020.txt : 20110311 0000909954-11-000020.hdr.sgml : 20110311 20110311135207 ACCESSION NUMBER: 0000909954-11-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110310 FILED AS OF DATE: 20110311 DATE AS OF CHANGE: 20110311 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: 11681335 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 2011-03-10 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 NQ stock options 61.71 2011-03-10 4 A 0 2300 A 2021-03-10 GMCR Common stock 2300 2300 D Option vests in four equal annual installments, with the first installment vesting on 3/10/2012, the first anniversary of the grant date. 1 for 1 /s/ Valerie Jennings pursuant to a power of attorney 2011-03-11