0000909954-11-000092.txt : 20111202
0000909954-11-000092.hdr.sgml : 20111202
20111202152657
ACCESSION NUMBER: 0000909954-11-000092
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111130
FILED AS OF DATE: 20111202
DATE AS OF CHANGE: 20111202
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: 111240119
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
X0304
4
2011-11-30
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
2011-11-30
4
A
0
19.07
52.43
A
2011-11-30
GMCR Common Stock
19.07
2638
D
1 for 1
On 11/30/2011, Mr. Daft acquired 19.07 units of Phantom Stock at a unit price of $52.43 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
2011-12-02