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