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