SEC Form 4 · accession 0000899243-17-024743
Vera Bradley, Inc. · VRA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anne Marie Ray
10% Owner
Period of report
Sep 26, 2017
Accepted (ET)
Oct 26, 2017 · 4:06 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 StockF1,F2 | Sep 26, 2017 | G | 50,000 | $0.00 | D | 277,267 | I | By Anne-Marie Ray Revocable Trust |
| Common StockF1 | Sep 29, 2017 | G | 50,000 | $0.00 | D | 227,267 | I | By Anne-Marie Ray Revocable Trust |
| Common Stock | holding | — | — | — | 532,036 | I | By Michael Ray 2009 Grantor Retained Annuity Trust | |
| Common StockF1 | holding | — | — | — | 0 | I | By Anne-Marie Ray 2015 Grantor Retained Annuity Trust | |
| Common StockF1 | holding | — | — | — | 46,252 | I | By Anne-Marie Ray 2016 Grantor Retained Annuity Trust #1 | |
| Common Stock | holding | — | — | — | 500,000 | I | By Anne-Marie Ray 2017 Grantor Retained Annuity Trust #1 | |
| Common StockF3 | holding | — | — | — | 4,610,469 | I | By Barbara B. Baekgaard 2009 Grantor Retained Annuity Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On September 26, 2017, the Anne-Marie Ray 2015 Grantor Retained Annuity Trust (the "2015 GRAT") made an annuity payment of 173,519 shares of Issuer common stock to the reporting person, who, in turn, assigned the shares to the Anne-Marie Ray Revocable Trust (the "Revocable Trust"). Also on September 26, 2017, the Anne-Marie Ray 2016 Grantor Retained Annuity Trust #1 (the "2016 GRAT") made an annuity payment of 153,748 shares of Issuer common stock to the reporting person, who, in turn, assigned the shares to the Revocable Trust. The reporting person is the sole trustee and annuitant of the 2015 GRAT and the 2016 GRAT, and sole trustee of the Revocable Trust.
- F2Following receipt of the first annuity payment described in Note (1) above, the 2016 GRAT contributed 50,000 shares of Issuer common stock to the Barbara Bradley Baekgaard Family Foundation; the contribution is the transaction reported in this Form 4.
- F3The reporting person disclaims beneficial ownership of these shares.