0000899243-19-025087.txt : 20191004 0000899243-19-025087.hdr.sgml : 20191004 20191004160612 ACCESSION NUMBER: 0000899243-19-025087 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191002 FILED AS OF DATE: 20191004 DATE AS OF CHANGE: 20191004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Byrne Thomas Farrell II CENTRAL INDEX KEY: 0001629212 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34918 FILM NUMBER: 191138689 MAIL ADDRESS: STREET 1: 13114 PERRY LAKE COURT CITY: FORT WAYNE STATE: IN ZIP: 46845 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: 0201 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-10-02 0 0001495320 Vera Bradley, Inc. VRA 0001629212 Byrne Thomas Farrell II C/O VERA BRADLEY, INC. 12420 STONEBRIDGE ROAD ROANOKE IN 46783 0 0 0 1 Member of a 10% owner group Common Stock 2019-10-02 5 G 0 E 2380 0.00 D 102846 I By Barbara Bradley Baekgaard Family Foundation Common Stock 2019-10-02 5 G 0 E 11900 0.00 D 90946 I By Barbara Bradley Baekgaard Family Foundation Common Stock 248524 I By Thomas Farrell Byrne II Revocable Trust Common Stock 281098 I By Thomas F. Byrne, II 2017 Grantor Retained Annuity Trust #1 Common Stock 2459290 I By Barbara B. Baekgaard 2009 Grantor Retained Annuity Trust The reporting person disclaims beneficial ownership of these shares, except to the extent of the reporting person's pecuniary interest therein. On September 19, 2019, the Thomas F. Byrne, II 2017 Grantor Retained Annuity Trust #1 (the "2017 GRAT") made an annuity payment of 129,905 shares of Issuer common stock to the reporting person, who, in turn, assigned the shares to the Thomas F. Byrne II Revocable Trust (the "Revocable Trust"). The reporting person is the settlor, sole trustee and sole annuitant of the 2017 GRAT and the settlor and sole trustee of the Revocable Trust. /s/ Thomas F. Byrne, II 2019-10-04