0001179110-15-016013.txt : 20151208 0001179110-15-016013.hdr.sgml : 20151208 20151208214619 ACCESSION NUMBER: 0001179110-15-016013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151206 FILED AS OF DATE: 20151208 DATE AS OF CHANGE: 20151208 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: 151276883 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 4 1 edgar.xml FORM 4 - X0306 4 2015-12-06 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 2015-12-06 4 M 0 1286 A 7182 D Common Stock 2015-12-07 4 F 0 243 89.41 D 6939 D Restricted Stock Units 2015-12-06 4 M 0 1286 D Common Stock 1286 2572 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 6, 2013 the reporting person was granted 5,143 restricted stock units which vest in four equal installments. Each restricted stock unit represents a contingent right to receive one share of the Company's common stock ("Common Stock"). 1,286 of the restricted units vested on December 6, 2015. This transaction was executed in multiple trades at prices ranging from $89.38 to $89.43. 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. This number represents shares of Common Stock sold to satisfy the tax obligation due upon vesting of the restricted stock units. /s/ Jessica H. Collins, pursuant to a Power of Attorney 2015-12-08