0001179110-15-005372.txt : 20150324 0001179110-15-005372.hdr.sgml : 20150324 20150324163336 ACCESSION NUMBER: 0001179110-15-005372 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150322 FILED AS OF DATE: 20150324 DATE AS OF CHANGE: 20150324 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: Gibbs Stephen L CENTRAL INDEX KEY: 0001358692 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 15722097 MAIL ADDRESS: STREET 1: C/O SCIENTIFIC GAMES CORPORATION STREET 2: 1500 BLUEGRASS LAKES PARKWAY CITY: ALPHARETTA, STATE: GA ZIP: 30004 4 1 edgar.xml FORM 4 - X0306 4 2015-03-22 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0001358692 Gibbs Stephen L 33 COFFEE LANE WATERBURY VT 05676 0 1 0 0 VP, Chief Accounting Officer Common Shares 2015-03-22 4 M 0 214 A 1704 D Common Shares 2015-03-23 4 F 0 71 122.78 D 1633 D Restricted Stock Units 2015-03-22 4 M 0 214 D Common Shares 214 213 D The reporting person had vested restricted stock units settled in shares of common stock par value $0.10, of Keurig Green Mountain, Inc. ("Common Stock). On March 22, 2012 the reporting person was granted 854 restricted stock units which vest in four equal installments. Each restricted stock unit represents a contingent right to receive one share of Common Stock. 214 of the restricted units vested on March 22, 2015. This transaction was executed in multiple trades at prices ranging from $122.72 to $123.68. 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/ Jessica H. Collins, pursuant to a Power of Attorney 2015-03-24