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