0001179110-15-000207.txt : 20150105
0001179110-15-000207.hdr.sgml : 20150105
20150105163545
ACCESSION NUMBER: 0001179110-15-000207
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150101
FILED AS OF DATE: 20150105
DATE AS OF CHANGE: 20150105
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: CARLINI BARBARA D
CENTRAL INDEX KEY: 0001224778
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12340
FILM NUMBER: 15505465
MAIL ADDRESS:
STREET 1: C/O GREEN MOUNTAIN COFFEE ROASTERS INC
STREET 2: 33 COFFEE LANE
CITY: WATERBURY
STATE: VT
ZIP: 05676
4
1
edgar.xml
FORM 4 -
X0306
4
2015-01-01
0
0000909954
KEURIG GREEN MOUNTAIN, INC.
GMCR
0001224778
CARLINI BARBARA D
33 COFFEE LANE
WATERBURY
VT
05676
1
0
0
0
Common Stock
2015-01-01
4
M
0
3467
0
A
19142
D
Phantom Stock Units
2015-01-01
4
M
0
3467
0
D
Common Stock
3467
27389
D
Each Phantom Stock Unit is the economic equivalent of one share of Common Stock.
The Phantom Stock Units were granted under the Company's 2002 Deferred Compensation Plan, as amended. This Form 4 is being filed to report the settlement of 3,467 Phantom Stock Units for shares of Common Stock pursuant to the reporting person's election to defer.
/s/ Kristin E. Blazewicz, pursuant to a Power of Attorney
2015-01-05