0001437749-21-005163.txt : 20210305 0001437749-21-005163.hdr.sgml : 20210305 20210305170110 ACCESSION NUMBER: 0001437749-21-005163 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210303 FILED AS OF DATE: 20210305 DATE AS OF CHANGE: 20210305 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: 21719362 MAIL ADDRESS: STREET 1: 20062 SW BIRCH ST. STREET 2: SUITE 220 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 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: 0930 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 4 1 rdgdoc.xml FORM 4 X0306 4 2021-03-03 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 2021-03-04 4 M 0 8219 0 A 43563 D Restricted Stock Units 2021-03-03 4 A 0 3960 0 A Common Stock 3960 12179 D Restricted Stock Units 2021-03-04 4 M 0 8219 D 2021-03-04 2021-03-04 Common Stock 8219 3960 D Represents shares of NGVC common stock issued to the reporting person upon the vesting of 8,219 restricted stock units on March 4, 2021, 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. Represents restricted stock units issued to the reporting person for service on the Company's board of directors (the "Board"). The restricted stock units vest on March 3, 2022, subject to continued service on the Board, and will be settled in shares of NGVC common stock. /s/ Kemper Isely, by Power of Attorney 2021-03-05