0000909954-13-000014.txt : 20130304 0000909954-13-000014.hdr.sgml : 20130304 20130304115041 ACCESSION NUMBER: 0000909954-13-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130228 FILED AS OF DATE: 20130304 DATE AS OF CHANGE: 20130304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WESLEY NORMAN H CENTRAL INDEX KEY: 0001190600 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 13660549 MAIL ADDRESS: STREET 1: 225 W WESTMINSTER CITY: LAKE FOREST STATE: IL ZIP: 60045 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 2013-02-28 0 0000909954 GREEN MOUNTAIN COFFEE ROASTERS INC GMCR 0001190600 WESLEY NORMAN H 225 W WESTMINSTER LAKE FOREST IL 60045 1 0 0 0 GMCR Phantom Stock Units 2013-02-28 4 A 0 20.94 47.75 A 2013-02-28 GMCR Common Stock 20.94 43 D 1 For 1 On 2/28/2013, Mr. Wesley acquired 20.94 units of Phantom Stock at a unit price of $47.75 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 2013-03-04