0001179110-14-013402.txt : 20140828 0001179110-14-013402.hdr.sgml : 20140828 20140828204850 ACCESSION NUMBER: 0001179110-14-013402 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140826 FILED AS OF DATE: 20140828 DATE AS OF CHANGE: 20140828 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: Ostryniec Robert Paul CENTRAL INDEX KEY: 0001483248 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 141073159 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 4 1 edgar.xml FORM 4 - X0306 4 2014-08-26 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0001483248 Ostryniec Robert Paul 33 COFFEE LANE WATERBURY VT 05676 0 1 0 0 Chief Product Supply Officer Common Stock 2014-08-26 4 M 0 2892 A 3161 D Common Stock 2014-08-27 4 F 0 947 135.8591 D 2214 D Restricted Stock Units 2014-08-26 4 M 0 2892 D Common Stock 2892 8677 D The reporting person had vested restricted stock units settled in shares of common stock, par value $0.10, of Keurig Green Mountain, Inc. (formerly known as Green Mountain Coffee Roasters, Inc.) ("Common Stock"). On August 26, 2013 the reporting person was granted 11,569 restricted stock units which vest in four equal installments. Each restricted stock unit represents a contingent right to receive one share of Common Stock. 2,892 of the restricted stock units vested on August 26, 2014. This transaction was executed in multiple trades at prices ranging from $135.25 to $135.89. The price reported above reflects the weighted average sales price. The reporting person hereby undertakes to provide upon request to the SEC Staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. /s/ Kristin Blazewicz, pursuant to a Power of Attorney 2014-08-28