0001179110-16-020789.txt : 20160303
0001179110-16-020789.hdr.sgml : 20160303
20160303104047
ACCESSION NUMBER: 0001179110-16-020789
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160303
FILED AS OF DATE: 20160303
DATE AS OF CHANGE: 20160303
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: 0926
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: Kilsby Susan S
CENTRAL INDEX KEY: 0001578622
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12340
FILM NUMBER: 161479905
MAIL ADDRESS:
STREET 1: 33 COFFEE LANE
CITY: WATERBURY
STATE: VT
ZIP: 05676
4
1
edgar.xml
FORM 4 -
X0306
4
2016-03-03
1
0000909954
KEURIG GREEN MOUNTAIN, INC.
GMCR
0001578622
Kilsby Susan S
33 COFFEE LANE
WATERBURY
VT
05676
1
0
0
0
Common Stock
2016-03-03
4
D
0
15502
92
D
0
D
Stock Option (Right to Buy)
77.14
2016-03-03
4
D
0
633
D
2023-07-01
Common Stock
633
0
D
Disposed of pursuant to the Agreement and Plan of Merger, dated as of December 6, 2015, by and among the Issuer, Acorn Holdings B.V., Maple Holdings Acquisition Corp. and, solely for purposes of Article IX therein, JAB Holdings B.V.(the "Merger Agreement").
Disposed of pursuant to the Merger Agreement in exchange for $92.00 for each share of the Issuer's common stock held by Reporting Person.
Pursuant to the Merger Agreement, this option was cancelled as of March 3, 2016 in exchange for a cash payment equal to the product of (i) the number of shares of the Issuer's common stock subject to the option multiplied by (ii) the excess of $92.00 over the per share exercise price of the option.
/s/ Jessica H. Collins, pursuant to a Power of Attorney
2016-03-03