0001437749-16-033342.txt : 20160606
0001437749-16-033342.hdr.sgml : 20160606
20160606162444
ACCESSION NUMBER: 0001437749-16-033342
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160602
FILED AS OF DATE: 20160606
DATE AS OF CHANGE: 20160606
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Natural Grocers by Vitamin Cottage, Inc.
CENTRAL INDEX KEY: 0001547459
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411]
IRS NUMBER: 841444517
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12612 W. ALAMEDA PARKWAY
CITY: LAKEWOOD
STATE: CO
ZIP: 80228
BUSINESS PHONE: 877-986-4600
MAIL ADDRESS:
STREET 1: 12612 W. ALAMEDA PARKWAY
CITY: LAKEWOOD
STATE: CO
ZIP: 80228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Isely Raquel M.
CENTRAL INDEX KEY: 0001675822
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35608
FILM NUMBER: 161698806
MAIL ADDRESS:
STREET 1: NATURAL GROCERS BY VITAMIN COTTAGE, INC.
STREET 2: 12612 WEST ALAMEDA PARKWAY
CITY: LAKEWOOD
STATE: CO
ZIP: 80228
4
1
rdgdoc.xml
FORM 4
X0306
4
2016-06-02
0001547459
Natural Grocers by Vitamin Cottage, Inc.
NGVC
0001675822
Isely Raquel M.
C/O NATURAL GROCERS BY VITAMIN COTTAGE,
12612 W. ALAMEDA PARKWAY
LAKEWOOD
CO
80228
1
13D Group Member
Common Stock
2016-06-02
4
P
0
1400
13.5899
A
106145
D
The Reporting Person is a party to a Stockholders Agreement that contains voting agreements and thus is a member of a Schedule 13D group that beneficially owns more than 10% of the issuer's common stock. The number of shares identified as beneficially owned by the Reporting Person excludes shares of Common Stock deemed to be beneficially owned by her solely because of this Stockholders Agreement.
/s/ Kemper Isely, by Power of Attorney
2016-06-06