0000899243-16-036170.txt : 20161221 0000899243-16-036170.hdr.sgml : 20161221 20161221160552 ACCESSION NUMBER: 0000899243-16-036170 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161219 FILED AS OF DATE: 20161221 DATE AS OF CHANGE: 20161221 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vera Bradley, Inc. CENTRAL INDEX KEY: 0001495320 STANDARD INDUSTRIAL CLASSIFICATION: LEATHER & LEATHER PRODUCTS [3100] IRS NUMBER: 272935063 FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 12420 STONEBRIDGE ROAD CITY: ROANOKE STATE: IN ZIP: 46783 BUSINESS PHONE: 260-482-4673 MAIL ADDRESS: STREET 1: 12420 STONEBRIDGE ROAD CITY: ROANOKE STATE: IN ZIP: 46783 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ray Anne Marie CENTRAL INDEX KEY: 0001645770 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34918 FILM NUMBER: 162064012 MAIL ADDRESS: STREET 1: 11008 TURNBERRY PLACE CITY: FORT WAYNE STATE: IN ZIP: 46814 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-19 0 0001495320 Vera Bradley, Inc. VRA 0001645770 Ray Anne Marie C/O VERA BRADLEY, INC. 12420 STONEBRIDGE ROAD ROANOKE IN 46783 0 0 1 0 Common Stock 6610469 I By Barbara B. Baekgaard 2009 Grantor Retained Annuity Trust Common Stock 200000 I By Anne-Marie Ray 2016 Grantor Retained Annuity Trust #1 Common Stock 832796 I By Michael Ray 2009 Grantor Retained Annuity Trust Common Stock 173519 I By Anne-Marie Ray 2015 Grantor Retained Annuity Trust Common Stock 2016-12-19 4 S 0 12771 12.37 D 113710 I By Anne-Marie Ray Revocable Trust Common Stock 2016-12-19 4 S 0 113710 11.80 D 0 I By Anne-Marie Ray Revocable Trust The reporting person disclaims beneficial ownership of these shares. On October 3, 2016, the Anne-Marie Ray 2015 Grantor Retained Annuity Trust (the "2015 GRAT") made an annuity payment of 126,481 shares of Issuer common stock to the reporting person, who, in turn, assigned the shares to the Anne-Marie Ray Revocable Trust (the "Revocable Trust"). The reporting person is the sole trustee and annuitant of the 2015 GRAT and sole trustee of the Revocable Trust. Following the sales of Issuer common stock reported on this form, the Revocable Trust did not directly own any shares of Issuer common stock. The prices reported are weighted average prices. The shares were sold in multiple transactions at prices ranging from $12.22 to $12.57, inclusive. The reporting person undertakes to provide the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote. /s/ Anne-Marie Ray 2016-12-21