SEC Form 4 · accession 0000899243-15-005997
Vitamin Shoppe, Inc. · VSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Deborah Derby
Director
Period of report
Oct 2, 2015
Accepted (ET)
Oct 2, 2015 · 5:49 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001360530
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Oct 2, 2015 | M | 469 | $0.00 | A | 3,333 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | — | Oct 2, 2015 | M | 469 | D | — | — | Common Stock | 469 | 1,410 | D |
Explanation of responses
- F1Each restricted stock unit granted represents a contingent right to receive one share of Common Stock.
- F2On July 2, 2015, the reporting person was granted 1,879 restricted stock units, vesting in four equal quarterly installments of 469 shares, beginning October 2, 2015.