0001179110-14-017810.txt : 20141209 0001179110-14-017810.hdr.sgml : 20141209 20141209214933 ACCESSION NUMBER: 0001179110-14-017810 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141209 FILED AS OF DATE: 20141209 DATE AS OF CHANGE: 20141209 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: HAYES JOHN D CENTRAL INDEX KEY: 0001209446 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 141276450 MAIL ADDRESS: STREET 1: AMERICAN EXPRESS COMPANY STREET 2: 200 VESEY STREET CITY: NEW YORK STATE: NY ZIP: 10285 4 1 edgar.xml FORM 4 - X0306 4 2014-12-09 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0001209446 HAYES JOHN D 33 COFFEE LANE WATERBURY VT 05676 1 0 0 0 Common Stock 2014-12-09 4 P 0 7600 133.06 A 9123 D This transaction was executed in multiple trades at prices ranging from $132.97 to $133.14. The price reported above reflects the weighted average purchase 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 E. Blazewicz, pursuant to a Power of Attorney 2014-12-09