0000909954-12-000079.txt : 20121204 0000909954-12-000079.hdr.sgml : 20121204 20121204163705 ACCESSION NUMBER: 0000909954-12-000079 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121203 FILED AS OF DATE: 20121204 DATE AS OF CHANGE: 20121204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLEY BRIAN P CENTRAL INDEX KEY: 0001269385 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 121241040 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 2012-12-03 1 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC GMCR 0001269385 KELLEY BRIAN P 33 COFFEE LANE WATERBURY VT 05676 1 1 0 0 CEO & President /s/ Valerie Jennings pursuant to a Power of Attorney 2012-12-04