0001437749-17-003796.txt : 20170303
0001437749-17-003796.hdr.sgml : 20170303
20170303165850
ACCESSION NUMBER: 0001437749-17-003796
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170301
FILED AS OF DATE: 20170303
DATE AS OF CHANGE: 20170303
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Natural Grocers by Vitamin Cottage, Inc.
CENTRAL INDEX KEY: 0001547459
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411]
IRS NUMBER: 841444517
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12612 W. ALAMEDA PARKWAY
CITY: LAKEWOOD
STATE: CO
ZIP: 80228
BUSINESS PHONE: 877-986-4600
MAIL ADDRESS:
STREET 1: 12612 W. ALAMEDA PARKWAY
CITY: LAKEWOOD
STATE: CO
ZIP: 80228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cerkovnik Edward
CENTRAL INDEX KEY: 0001556567
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35608
FILM NUMBER: 17664892
MAIL ADDRESS:
STREET 1: 20062 SW BIRCH ST.
STREET 2: SUITE 220
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
4
1
rdgdoc.xml
FORM 4
X0306
4
2017-03-01
0001547459
Natural Grocers by Vitamin Cottage, Inc.
NGVC
0001556567
Cerkovnik Edward
C/O NATURAL GROCERS BY VITAMIN COTTAGE
12612 W. ALAMEDA PARKWAY
LAKEWOOD
CO
80228
1
Common Stock
2017-03-02
4
M
0
2941
0
A
14625
D
Restricted Stock Units
2017-03-01
4
A
0
4954
0
A
Common Stock
4954
7895
D
Restricted Stock Units
2017-03-02
4
M
0
2941
D
2017-03-02
2017-03-02
Common Stock
2941
4954
D
Represents shares of NGVC common stock issued to the reporting person upon the vesting of 2,941 restricted stock units on March 2, 2017, where each restricted stock unit represented the economic equivalent of one share of NGVC common stock.
Each restricted stock unit represents a contingent right to receive one share of NGVC common stock.
The restricted stock units vest on March 1, 2018 and will be settled in shares of NGVC common stock upon vesting.
/s/ Kemper Isely, by Power of Attorney
2017-03-03