0001179110-15-007940.txt : 20150515 0001179110-15-007940.hdr.sgml : 20150515 20150515200013 ACCESSION NUMBER: 0001179110-15-007940 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150515 FILED AS OF DATE: 20150515 DATE AS OF CHANGE: 20150515 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: MARDY MICHAEL J CENTRAL INDEX KEY: 0001237393 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 15871448 4 1 edgar.xml FORM 4 - X0306 4 2015-05-15 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0001237393 MARDY MICHAEL J 33 COFFEE LANE WATERBURY VT 05676 1 0 0 0 Common Stock 2015-05-15 4 P 0 1000 95.09 A 11164 D /s/ Jessica H. Collins, pursuant to a Power of Attorney 2015-05-15