0001179110-15-015703.txt : 20151203 0001179110-15-015703.hdr.sgml : 20151203 20151203171720 ACCESSION NUMBER: 0001179110-15-015703 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151201 FILED AS OF DATE: 20151203 DATE AS OF CHANGE: 20151203 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: Ostryniec Robert Paul CENTRAL INDEX KEY: 0001483248 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 151268106 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 4 1 edgar.xml FORM 4 - X0306 4 2015-12-01 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0001483248 Ostryniec Robert Paul 33 COFFEE LANE WATERBURY VT 05676 0 1 0 0 Chief Product Supply Officer Common Stock 2015-12-01 4 M 0 924 A 6198 D Common Stock 2015-12-02 4 F 0 302 53.12 D 5896 D Restricted Stock Units 2015-12-01 4 M 0 924 D Common Stock 924 1847 D NQ Stock Options 52.98 2015-12-01 4 A 0 21819 A 2025-12-01 Common Stock 21819 21819 D Restricted Stock Units 2015-12-01 4 A 0 7273 0 A Common Stock 7273 7273 D The reporting person had vested restricted stock units settled in shares of common stock par value $0.10, of Keurig Green Mountain, Inc. (the "Company"). On December 1, 2014 the reporting person was granted 2,771 restricted stock units which vest in three equal installments. Each restricted stock unit represents a contingent right to receive one share of the Company's common stock ("Common Stock"). 924 of the restricted units vested on December 1, 2015. 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 $53.06 to $53.26. 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. Options vest in three equal annual installments, with the first installment vesting December 1, 2016, the first anniversary of the grant date. 1 for 1. Each restricted stock unit represents a contingent right to receive one share of Common Stock. The price of a share of the Company's stock on the date of grant was $52.98. The restricted stock units vest in three equal annual installments, with the first installment vesting on December 1, 2016. /s/ Jessica H. Collins, pursuant to a Power of Attorney 2015-12-03