SEC Form 4 · accession 0001179110-15-016013
KEURIG GREEN MOUNTAIN, INC. · GMCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Paul Ostryniec
Officer — Chief Product Supply Officer
Period of report
Dec 6, 2015
Accepted (ET)
Dec 8, 2015 · 9:46 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 6, 2015 | M | 1,286 | — | A | 7,182 | D | |
| Common StockF4,F3 | Dec 7, 2015 | F | 243 | $89.41 | D | 6,939 | 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 6, 2015 | M | 1,286 | D | — | — | Common Stock | 1,286 | 2,572 | 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 6, 2013 the reporting person was granted 5,143 restricted stock units which vest in four equal installments. Each restricted stock unit represents a contingent right to receive one share of the Company's common stock ("Common Stock"). 1,286 of the restricted units vested on December 6, 2015.
- F3This transaction was executed in multiple trades at prices ranging from $89.38 to $89.43. 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.
- F4This number represents shares of Common Stock sold to satisfy the tax obligation due upon vesting of the restricted stock units.