SEC Form 4 · accession 0000899243-16-026110
Vera Bradley, Inc. · VRA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael C. Ray
10% Owner
Period of report
Jul 27, 2016
Accepted (ET)
Aug 2, 2016 · 4:05 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001495320
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Jul 27, 2016 | G | 800,000 | $0.00 | D | 6,610,469 | I | By Barbara B. Baekgaard 2009 Grantor Retained Annuity Trust |
| Common StockF3 | Jul 27, 2016 | G | 200,000 | $0.00 | A | 0 | I | By Anne-Marie Ray |
| Common StockF2,F3 | holding | — | — | — | 200,000 | I | By Anne-Marie Ray 2016 Grantor Retained Annuity Trust #1 | |
| Common Stock | holding | — | — | — | 290,262 | D | ||
| Common Stock | holding | — | — | — | 885,996 | I | By Michael Ray 2009 Grantor Retained Annuity Trust | |
| Common StockF2 | holding | — | — | — | 300,000 | I | By Anne-Marie Ray 2015 Grantor Retained Annuity Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents a distribution by the Barbara B. Baekgaard 2009 Grantor Retained Annuity Trust (the "Baekgaard Trust") of 200,000 shares of the Issuer's common stock to each of the four beneficiaries of the Baekgaard Trust, including the reporting person's spouse, in accordance with the terms of the documents governing the Baekgaard Trust.
- F2The reporting person disclaims beneficial ownership of these shares.
- F3On July 27, 2016, following the reporting person's spouse's receipt of the 200,000 share distribution from the Baekgaard Trust, the reporting person's spouse transferred the shares to the Anne-Marie Ray 2016 Grantor Retained Annuity Trust #1, of which the reporting person's spouse is the sole trustee and annuitant.