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
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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*
Kilsby Susan S

(Last) (First) (Middle)
33 COFFEE LANE

(Street)
WATERBURY VT 05676

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
GREEN MOUNTAIN COFFEE ROASTERS INC [ GMCR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/01/2013
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
Restricted Stock Units 07/01/2013 A 438 A $0(1) 438 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
GMCR NQ Stock Options $77.14 07/01/2013 A 633 (2) 07/01/2023 GMCR Common Stock 633 (3) 633 D
Explanation of Responses:
1. Represents restricted stock units granted to the reporting person. The restricted stock units fully vested on the date of grant. If, as of the date of grant, the reporting does not meet the then-current minimum share ownership guidelines of the Company maintained for its non-employee directors, the net shares are subject to a holding period of, the earlier of (a) two years following the grant date, or (b) such time as the Director satisfies the then-current minimum share ownership guidelines. All minimum ownership restrictions lapse upon the reporting person's death or termination of service from the board of directors of GMCR.
2. The option fully vested on the date of grant. If, as of the date of exercise, the reporting person does not meet the then-current minimum share ownership guidelines of the Company maintained for its non-employee directors, the net shares are subject to a holding period of, the earlier of (a) two years following the grant date, or (b) such time as the Director satisfies the then-current minimum share ownership guidelines. All minimum ownership restrictions lapse upon the reporting person's death or termination of service from the board of directors of GMCR.
3. 1 for 1.
/s/ Sonia G. Cudd pursuant to a Power of Attorney 07/03/2013
** 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.
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