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