0001179110-14-017551.txt : 20141203 0001179110-14-017551.hdr.sgml : 20141203 20141203202020 ACCESSION NUMBER: 0001179110-14-017551 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141201 FILED AS OF DATE: 20141203 DATE AS OF CHANGE: 20141203 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: 141264919 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 4 1 edgar.xml FORM 4 - X0306 4 2014-12-01 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 NQ Stock Options 139.01 2014-12-01 4 A 0 8315 A 2024-12-01 Common Stock 8315 8315 D Restricted Stock Units 2014-12-01 4 A 0 2771 0 A Common Stock 2771 2771 D Options vest in three equal annual installments, with the first installment vesting December 1, 2015, the first anniversary of the grant date. 1 for 1. Each restricted stock unit represents a contingent right to receive one share of Keurig Green Mountain, Inc.'s (the "Company") common stock ("Common Stock").The price of ashare of the Company's stock on the date of grant was $139.01. The restricted stock units vest in three equal annual installments, with the first installment vesting on December 1, 2015. /s/ Kristin E. Blazewicz, pursuant to a Power of Attorney 2014-12-03