0001437749-22-016210.txt : 20220629 0001437749-22-016210.hdr.sgml : 20220629 20220629180233 ACCESSION NUMBER: 0001437749-22-016210 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220627 FILED AS OF DATE: 20220629 DATE AS OF CHANGE: 20220629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dissinger Todd CENTRAL INDEX KEY: 0001726950 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35608 FILM NUMBER: 221055941 MAIL ADDRESS: STREET 1: C/O NATURAL GROCERS BY VITAMIN COTTAGE STREET 2: 12612 W. ALAMEDA PKWY. CITY: LAKEWOOD STATE: CO ZIP: 80228 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 2022-06-27 0001547459 Natural Grocers by Vitamin Cottage, Inc. NGVC 0001726950 Dissinger Todd C/O NATURAL GROCERS BY VITAMIN COTTAGE 12612 WEST ALAMEDA PARKWAY LAKEWOOD CO 80228 1 Chief Financial Officer Common Stock 2022-06-27 4 M 0 4000 0 A 46956 D Common Stock 2022-06-27 4 F 0 1155 16.59 D 45801 D Restricted Stock Units 0 2022-06-27 4 M 0 4000 0 D 2022-06-27 2022-06-27 Common Stock 4000 55114 D Represents shares of NGVC common stock issued to the reporting person upon the vesting of 4,000 restricted stock units on June 27, 2022, where each restricted stock unit represented the economic equivalent of one share of NGVC common stock. Exempt transaction pursuant to Section 16b-3(e) - payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. All of the shares reported as disposed of on this line were relinquished by the Reporting Person and cancelled by the Issuer in exchange for the Issuer's agreement to pay federal and state tax withholding obligations of the Reporting Person resulting from the vesting of the restricted stock units. Each restricted stock unit represents a contingent right to receive one share of NGVC common stock. In addition to the transactions reported on this Form 4, includes: (a) 1,620 restricted stock units vesting on November 1, 2022; (b) 12,014 restricted stock units vesting on January 2, 2023; provided, however, that all the restricted stock units in this clause (b) that are unvested will become fully vested upon the occurrence of a change in control affecting the Company; (c) 4,000 restricted stock units vesting on June 27, 2023; (d) 1,600 restricted stock units vesting on each of October 1, 2022, 2023 and 2024; (e) 1,920 restricted stock units vesting on each of October 1, 2022, 2023, 2024 and 2025 and (f) 25,000 restricted stock units vesting on September 30, 2024. /s/ Kemper Isely, by power of attorney 2022-06-29