SEC Form 4 · accession 0001179110-15-015702
KEURIG GREEN MOUNTAIN, INC. · GMCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian P Kelley
Officer — CEO and President · Director
Period of report
Dec 1, 2015
Accepted (ET)
Dec 3, 2015 · 5:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000909954
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 1, 2015 | M | 2,698 | — | A | 92,810 | D | |
| Common StockF3,F4 | Dec 2, 2015 | F | 1,269 | $53.12 | D | 91,541 | 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 | — | Dec 1, 2015 | M | 2,698 | D | — | — | Common Stock | 2,698 | 5,394 | D |
| NQ Stock OptionsF6,F5 | $52.98 | Dec 1, 2015 | A | 63,703 | A | — | Dec 1, 2025 | Common Stock | 63,703 | 63,703 | D |
Explanation of responses
- F1The reporting person had vested restricted stock units settled in shares of common stock par value $0.10, of Keurig Green Mountain, Inc. (the "Company").
- F2On December 1, 2014 the reporting person was granted 8,092 restricted stock units which vest in three equal installments. Each restricted stock unit represents a contingent right to receive one share of the Company's Common Stock ("Common Stock"). 2,698 of the restricted units vested on December 1, 2015.
- F3This number represents shares of Common Stock sold to satisfy the tax obligation due upon vesting of the restricted stock units.
- F4This transaction was executed in multiple trades at prices ranging from $53.06 to $53.26. The price reported above reflects the weighted average sales price. The reporting person hereby undertakes to provide upon request to the SEC Staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F5Options vest in three equal annual installments, with the first installment vesting December 1, 2016, the first anniversary of the grant date.
- F61 for 1.