0000909954-12-000075.txt : 20121203
0000909954-12-000075.hdr.sgml : 20121203
20121203103628
ACCESSION NUMBER: 0000909954-12-000075
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121130
FILED AS OF DATE: 20121203
DATE AS OF CHANGE: 20121203
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: 121236384
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
X0306
4
2012-11-30
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 Phantom Stock Units
2012-11-30
4
A
0
81.81
36.67
A
2012-11-30
GMCR Common Stock
81.81
28994
D
1 For 1
On 11/30/2012, Ms. Carlini acquired 81.81 units of Phantom Stock at a unit price of $36.67 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
2012-12-03