0000909954-11-000051.txt : 20110801
0000909954-11-000051.hdr.sgml : 20110801
20110801154620
ACCESSION NUMBER: 0000909954-11-000051
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110729
FILED AS OF DATE: 20110801
DATE AS OF CHANGE: 20110801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAVIS WILLIAM D
CENTRAL INDEX KEY: 0001224777
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12340
FILM NUMBER: 111000509
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
X0304
4
2011-07-29
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 Phantom Stock Units
2011-07-29
4
A
0
9.62
103.95
A
2011-07-29
GMCR Common Stock
9.62
33150
D
1 for 1
On 07/29/2011, Mr. Davis acquired 9.62 units of Phantom Stock at a unit price of $103.95 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
2011-08-01