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