0001181431-12-029771.txt : 20120514 0001181431-12-029771.hdr.sgml : 20120514 20120514171617 ACCESSION NUMBER: 0001181431-12-029771 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120510 FILED AS OF DATE: 20120514 DATE AS OF CHANGE: 20120514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EDWAB DAVID H CENTRAL INDEX KEY: 0001187697 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34507 FILM NUMBER: 12839763 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vitamin Shoppe, Inc. CENTRAL INDEX KEY: 0001360530 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FOOD STORES [5400] IRS NUMBER: 113664322 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: THE VITAMIN SHOPPE STREET 2: 2101 91ST STREET CITY: NORTH BERGEN STATE: NJ ZIP: 07047 BUSINESS PHONE: 800-223-1216 MAIL ADDRESS: STREET 1: THE VITAMIN SHOPPE STREET 2: 2101 91ST STREET CITY: NORTH BERGEN STATE: NJ ZIP: 07047 FORMER COMPANY: FORMER CONFORMED NAME: VS HOLDINGS, INC. DATE OF NAME CHANGE: 20060425 4 1 rrd345193.xml FORM 4 X0305 4 2012-05-10 0 0001360530 Vitamin Shoppe, Inc. VSI 0001187697 EDWAB DAVID H 2101 91ST STREET NORTH BERGEN NJ 07047 1 0 0 0 Common Stock 2012-05-10 4 M 0 1959 16.12 A 3694 D Common Stock 2012-05-10 4 S 0 1959 53.14 D 1735 D Option (Right to buy Common Stock) 16.12 2012-05-10 4 M 0 1959 0 D 2015-11-23 Common Stock 1959 0 D Options vest in four equal annual installments beginning on November 23, 2005. /s/ James M. Sander, attorney-in-fact 2012-05-14