0000909954-11-000055.txt : 20110805 0000909954-11-000055.hdr.sgml : 20110805 20110805152249 ACCESSION NUMBER: 0000909954-11-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110804 FILED AS OF DATE: 20110805 DATE AS OF CHANGE: 20110805 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: 111014053 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 2011-08-04 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 Common Stock 2011-08-04 4 M 0 108000 1.84 A 108000 D GMCR Common Stock 2011-08-04 4 S 0 108000 106.419 D 0 D GMCR Stock Option 1.84 2011-08-04 4 M 0 108000 D 2012-05-21 GMCR Common Stock 108000 0 D This sale was affected pursuant to a Rule 10b5-1 trading plan, duly executed on 5/17/2011. Grant vests in four equal annual installments, with the first installment vesting on the first anniversary of the grant date, on 5/21/2003. 1 for 1 /s/ Valerie Jennings pursuant to a Power of Attorney 2011-08-05