-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JCcjpU6xmle6Mlj/+QtKnjcX4DNLk2oDC4tyiPnN37+iJZREvhxHokLpR1sbmnhb 1+rdzriNI/kLkjG8GtcW9A== 0001209191-03-028610.txt : 20031105 0001209191-03-028610.hdr.sgml : 20031105 20031105122031 ACCESSION NUMBER: 0001209191-03-028610 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031103 FILED AS OF DATE: 20031105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAPAPORT ROSS S CENTRAL INDEX KEY: 0001125996 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31797 FILM NUMBER: 03978413 BUSINESS ADDRESS: STREET 1: C/O CRYSTAL ROCK SPRING WATER CO STREET 2: 1050 BUCKINGHAM STREET CITY: WATERTOWN STATE: CT ZIP: 06795 BUSINESS PHONE: 8005250070 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VERMONT PURE HOLDINGS LTD/DE CENTRAL INDEX KEY: 0001123316 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] IRS NUMBER: 030366218 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: RT 66 P O BOX C STREET 2: CAAMOUNT INDUSTRIAL PARK CITY: RANDOLPH STATE: VT ZIP: 05060 BUSINESS PHONE: 8027283600 MAIL ADDRESS: STREET 1: RT 66 P O BOX C STREET 2: CAAMOUNT INDUSTRIAL PARK CITY: RANDOLPH STATE: VT ZIP: 05060 FORMER COMPANY: FORMER CONFORMED NAME: VP MERGER PARENT INC DATE OF NAME CHANGE: 20000905 4 1 doc4.xml FORM 4 SUBMISSION X0201 42003-11-030 0001123316 VERMONT PURE HOLDINGS LTD/DE VPS 0001125996 RAPAPORT ROSS S 111 TOBY'S LANE NEW CANAAN CT 06840 1000Common Stock10249DCommon Stock Option3.382003-11-034A0 50000A2004-11-032013-11-03Common Stock50005000DCommon Stock Option42003 - -11-012012-11-01Common Stock50005000DCommon Stock Option3.652002-11-012011-11-01Common Stock50005000DCommon Stock Option4.982003-01-012012-01-01Common Stock50005000DCommon Stock Option32001-10-202010-10-20Common Stock2000020000DCommon Stock Option4.22004-01-022013-01-02Common Stock50005000D/s/ Bruce S. MacDonald ** on behalf of Ross S. Rapaport. An effective confirming statement is on file with the commission.2003-11-05 -----END PRIVACY-ENHANCED MESSAGE-----