SEC Form 4 · accession 0001179110-16-016937
KEURIG GREEN MOUNTAIN, INC. · GMCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Hinda Miller
Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 4, 2016 · 5:10 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000909954
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock UnitsF1,F2,F3 | — | Dec 31, 2015 | M | 331 | A | — | — | Common Stock | 331 | 19,366 | D |
Explanation of responses
- F1Each Phantom Stock Unit is the economic equivalent of one share of Common Stock.
- F2On 12/31/2015 the reporting person acquired 331 Phantom Stock Units at a unit price of $89.98 as a result of a fee deferral.
- F3Distribution is made under the Keurig Green Mountain, Inc. Amended and Restated 2002 Deferred Compensation Plan, as amended, on a fixed date (or dates), or at the time of the participants death, disability, or termination of service.