0001179110-15-016521.txt : 20151218 0001179110-15-016521.hdr.sgml : 20151218 20151218173214 ACCESSION NUMBER: 0001179110-15-016521 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151216 FILED AS OF DATE: 20151218 DATE AS OF CHANGE: 20151218 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: LONGO KAZANOVA LINDA CENTRAL INDEX KEY: 0001220860 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 151297725 MAIL ADDRESS: STREET 1: 300 N ZEEB ROAD CITY: AN ARBOR STATE: MI ZIP: 48103 4 1 edgar.xml FORM 4 - X0306 4 2015-12-16 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0001220860 LONGO KAZANOVA LINDA 33 COFFEE LANE WATERBURY VT 05676 0 1 0 0 Chief HR Officer Common Stock 2015-12-16 4 F 0 167 89.11 D 5141 D This transaction represents shares of Common Stock sold to satisfy the reporting person's tax obligation due to her retirement-eligible status. /s/ Jessica H. Collins, pursuant to a Power of Attorney 2015-12-18