SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
ARCHBOLD MICHAEL G

(Last) (First) (Middle)
2101 91ST STREET

(Street)
NORTH BERGEN NJ 07047

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Vitamin Shoppe, Inc. [ VSI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Former President & COO
3. Date of Earliest Transaction (Month/Day/Year)
09/05/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1) 09/05/2012 M 20,000 A $13.43 36,476 D
Common Stock(1) 09/05/2012 S 20,000 D $58 16,476 D
Common Stock(1) 09/05/2012 M 18,659 A $16.12 35,135 D
Common Stock(1) 09/05/2012 S 18,659 D $58.02 16,476 D
Common Stock(1) 09/05/2012 M 11,341 A $13.43 27,817 D
Common Stock(1) 09/05/2012 S 11,341 D $58.02 16,476 D
Common Stock(1) 09/05/2012 M 17,547 A $16.12 34,023 D
Common Stock(1) 09/05/2012 S 17,547 D $58 16,476 D
Common Stock(1) 09/05/2012 M 1,100 A $16.12 17,576 D
Common Stock(1) 09/05/2012 S 1,100 D $58 16,476 D
Common Stock(1) 09/06/2012 M 20,000 A $16.12 36,476 D
Common Stock(1) 09/06/2012 S 20,000 D $58.52 16,476 D
Common Stock(1) 09/06/2012 M 35,748 A $16.12 52,224 D
Common Stock(1) 09/06/2012 S 35,748 D $58.06 16,476 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option (Right to buy Common Stock ) $13.43 09/05/2012 M 20,000 (2) 04/16/2017 Common Stock 20,000 $0 11,341 D
Option (Right to buy Common Stock ) $16.12 09/05/2012 M 18,659 (2) 04/16/2017 Common Stock 18,659 $0 74,395 D
Option (Right to buy Common Stock ) $13.43 09/05/2012 M 11,341 (2) 04/16/2017 Common Stock 11,341 $0 0 D
Option (Right to buy Common Stock ) $16.12 09/05/2012 M 17,547 (2) 04/16/2017 Common Stock 17,547 $0 56,848 D
Option (Right to buy Common Stock ) $16.12 09/05/2012 M 1,100 (2) 04/16/2017 Common Stock 1,100 $0 55,748 D
Option (Right to buy Common Stock ) $16.12 09/06/2012 M 20,000 (2) 04/16/2017 Common Stock 20,000 $0 35,748 D
Option (Right to buy Common Stock ) $16.12 09/06/2012 M 35,748 (2) 04/16/2017 Common Stock 35,748 $0 0 D
Explanation of Responses:
1. Includes 562 shares acquired at $19.58 per share, 540 shares acquired at $22.10 per share, 86 shares acquired at $23.73 per share, 389 shares acquired at $28.36 per share, 460 shares acquired at $28.82 per share, 22 shares acquired at $31.82 per share and 620 shares acquired at $34.26 under the Vitamin Shoppe 2010 Employee Stock Purchase Plan on June 30, 2010, September 30, 2010, December 31, 2010, March 31, 2011, June 30, 2011, September 30, 2011, March 30, 2012 and respectively.
2. Options vest in four equal annual installments beginning on April 16, 2007.
/s/ Jean W. Frydman attorney-in-fact 09/06/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.