0001179110-15-008634.txt : 20150527
0001179110-15-008634.hdr.sgml : 20150527
20150527162707
ACCESSION NUMBER: 0001179110-15-008634
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150523
FILED AS OF DATE: 20150527
DATE AS OF CHANGE: 20150527
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: Glorieux Stephane
CENTRAL INDEX KEY: 0001608264
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12340
FILM NUMBER: 15892675
MAIL ADDRESS:
STREET 1: 3700 JEAN RIVARD
CITY: MONTREAL
STATE: A8
ZIP: H1Z 4K3
4
1
edgar.xml
FORM 4 -
X0306
4
2015-05-23
0
0000909954
KEURIG GREEN MOUNTAIN, INC.
GMCR
0001608264
Glorieux Stephane
33 COFFEE LANE
WATERBURY
VT
05676
0
1
0
0
President, Keurig Canada Inc.
Common Stock
2015-05-23
4
M
0
261
A
887
D
Common Stock
2015-05-26
4
F
0
133
90.27
D
754
D
Restricted Stock Units
2015-05-23
4
M
0
261
D
Common Stock
261
784
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").
This number represents shares of Common Stock sold to satisfy the tax obligation due upon vesting of the restricted stock units.
This transaction was executed in multiple trades at prices ranging from $90.25 to $90.275. 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.
May 23, 2014 the reporting person was granted 1,045 restricted stock units which vest in four equal installments. Each restricted stock unit represents a contingent right to receive one share of Common Stock. 261 of the restricted units vested on May 23, 2015.
/s/ Jessica H. Collins, pursuant to a Power of Attorney
2015-05-27
EX-24
2
ex24glorieux.txt
LIMITED POWER OF ATTORNEY
Know all by these present, that the undersigned hereby constitutes
and appoints each of Michael J. Degnan, Jessica H. Collins and
Kristin E. Blazewicz, or any of them acting singly and with full
power of
substitution, the undersigned's true and lawful attorney-in-fact
to:
execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer or director or both of Keurig Green Mountain,
Inc. (the "Company"), (a) Forms 3, 4 and 5 (and
any amendments thereto) in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended (the "Exchange Act"),
and the rules thereunder, (b) Schedule 13D; and (c) notices on
Form 144 in furtherance of the undersigned's obligations, if any,
under Rule 144 under the Securities Act of 1933, as amended (the
"Securities Act"), with respect to Company securities;
do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and
execute any such Form 3, 4 or 5, Schedule 13D, or Form 144,
complete and execute any amendments thereto, and timely file such
form with the U.S. Securities and Exchange Commission (the "SEC")
and any securities exchange or similar authority, including
without limitation the filing of a Form ID or any other documents
necessary or appropriate to enable the undersigned to file the
Forms 3, 4 and 5 electronically with the SEC;
seek or obtain, as the undersigned's representative and on the
undersigned's behalf, information on transactions in the Company's
securities from any third party, including brokers, employee
benefit plan administrators and trustees, and the undersigned
hereby authorizes any such person to release any such information
to each of the undersigned's attorneys-in-fact appointed by this
Limited Power of Attorney and approves and ratifies any such
release of information; and
take any other action in connection with the foregoing which, in
the opinion of such attorney-in-fact, may be of benefit to, in the
best interest of, or legally required by or for, the undersigned,
it being understood that the documents executed by such attorney-
in-fact on behalf of the undersigned pursuant to this Limited
Power of Attorney shall be in such form and shall contain such
information and disclosure as such attorney-in-fact may approve in
such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full
power and authority to do and perform any and every act and thing
whatsoever required, necessary or proper to be done in the
exercise of any of the rights and powers herein granted, as fully
to all intents and purposes as the undersigned might or could do
if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of
this Limited Power of Attorney and the rights and powers herein
granted.
The undersigned acknowledges that the foregoing attorneys-in-fact,
in serving in such capacity at the request and on the behalf of
the undersigned, are not assuming, nor is the Company assuming,
any of the undersigned's responsibilities to comply with, or any
liability for the failure to comply with, any provision of Section
16 or Rule 13d of the Exchange Act or the rules promulgated
thereunder or Rule 144 of the Securities Act or the rules
promulgated thereunder.
This Limited Power of Attorney shall remain in full force and
effect until the undersigned is no longer required to file Forms
3, 4 or 5 with respect to the undersigned's holdings of and
transactions in securities issued by the Company, unless earlier
revoked by the undersigned in a signed writing delivered to each
of the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has executed this Limited
Power of Attorney as of this 12th day of February, 2015.
Signed and acknowledged:
/s/ Stephane Glorieux
Signature