0000909954-12-000066.txt : 20120921 0000909954-12-000066.hdr.sgml : 20120921 20120921092456 ACCESSION NUMBER: 0000909954-12-000066 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120914 FILED AS OF DATE: 20120921 DATE AS OF CHANGE: 20120921 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBS MICHAEL CENTRAL INDEX KEY: 0001558366 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 121103240 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 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2012-09-14 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC GMCR 0001558366 JACOBS MICHAEL 33 COFFEE LANE WATERBURY VT 05676 0 1 0 0 Vice President,Chief Logistics GMCR Common Stock 365 D GMCR NQ Stock Options 45.9 2022-04-02 GMCR Common Stock 18882 D Restricted Stock Units 0 2022-04-02 GMCR Common Stock 2832 D Option vests in four equal annual installments with the first installment vesting on 4/02/2013, the first anniversary of the grant date. The restricted stock units vest in four equal annual installments, with the first installment vesting on April 2, 2013. Each restricted stock unit represents a contingent right to receive one share of GMCR Common stock. The price of a share of the company's stock on the date of grant was $45.90. /s/ Valerie Jennings pursuant to a Power of Attorney 2012-09-21