0000909954-12-000005.txt : 20120110
0000909954-12-000005.hdr.sgml : 20120110
20120110130650
ACCESSION NUMBER: 0000909954-12-000005
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120109
FILED AS OF DATE: 20120110
DATE AS OF CHANGE: 20120110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McCreary Richard Scott
CENTRAL INDEX KEY: 0001304561
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12340
FILM NUMBER: 12519382
MAIL ADDRESS:
STREET 1: 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
2012-01-09
0
0000909954
GREEN MOUNTAIN COFFEE ROASTERS INC
GMCR
0001304561
McCreary Richard Scott
33 COFFEE LANE
WATERBURY
VT
05676
0
1
0
0
President, SCBU
GMCR Common Stock
2012-01-09
4
M
0
20000
1.47
A
153154
D
GMCR Stock Option
1.47
2012-01-09
4
M
0
20000
D
2014-09-25
GMCR Common Stock
20000
103240
D
Grant vest in four equal annual installments, with the first installment vesting on the first anniversary of the grant date, 9/25/2005
1 for 1
/s/ Valerie Jennings pursuant to a Power of Attorney
2012-01-10