0001104659-15-055500.txt : 20150803 0001104659-15-055500.hdr.sgml : 20150801 20150803213848 ACCESSION NUMBER: 0001104659-15-055500 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150730 FILED AS OF DATE: 20150803 DATE AS OF CHANGE: 20150803 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KEURIG GREEN MOUNTAIN, 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 ROASTERS INC DATE OF NAME CHANGE: 20030221 FORMER COMPANY: FORMER CONFORMED NAME: GREEN MOUNTAIN COFFEE INC DATE OF NAME CHANGE: 19930729 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: 151023848 MAIL ADDRESS: STREET 1: 225 W WESTMINSTER CITY: LAKE FOREST STATE: IL ZIP: 60045 4 1 a4.xml 4 X0306 4 2015-07-30 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0001190600 WESLEY NORMAN H 33 COFFEE LANE WATERBURY VT 05676 1 0 0 0 Common Stock 2015-03-29 5 G 0 E 634 0 D 25695 D Common Stock 2015-07-30 4 M 0 165 A 25860 D Restricted Stock Units 2015-07-30 4 M 0 165 D Common Stock 165 165 D The reporting person had restricted stock units vest which were settled in shares of Keurig Green Mountain, Inc.'s common stock, par value $0.10 per share (the "Common Stock"). On July 30, 2012, the reporting person was granted 659 restricted stock units which vest in four equal installments. Each restricted stock unit represents a contingent right to receive one share of Common Stock. 165 of the restricted stock units vested on July 30, 2015. /s/ Jessica H. Collins, pursuant to a Power of Attorney 2015-08-03