0001209191-14-018857.txt : 20140310 0001209191-14-018857.hdr.sgml : 20140310 20140310161957 ACCESSION NUMBER: 0001209191-14-018857 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140227 FILED AS OF DATE: 20140310 DATE AS OF CHANGE: 20140310 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KEURIG GREEN MOUNTAIN, INC. CENTRAL INDEX KEY: 0000909954 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 030339228 STATE OF INCORPORATION: DE FISCAL YEAR END: 0929 BUSINESS ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 BUSINESS PHONE: 8022445621 MAIL ADDRESS: STREET 1: 33 COFFEE LANE CITY: WATERBURY STATE: VT ZIP: 05676 FORMER COMPANY: FORMER CONFORMED NAME: GREEN MOUNTAIN COFFEE ROASTERS INC DATE OF NAME CHANGE: 20030221 FORMER COMPANY: FORMER CONFORMED NAME: GREEN MOUNTAIN COFFEE INC DATE OF NAME CHANGE: 19930729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ATLANTIC INDUSTRIES CENTRAL INDEX KEY: 0001202707 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 14681158 MAIL ADDRESS: STREET 1: P O BOX 1734 CITY: ATLANTA STATE: GA ZIP: 30301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COCA COLA CO CENTRAL INDEX KEY: 0000021344 STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12340 FILM NUMBER: 14681159 BUSINESS ADDRESS: STREET 1: ONE COCA COLA PLAZA CITY: ATLANTA STATE: GA ZIP: 30313 BUSINESS PHONE: 404-676-2121 MAIL ADDRESS: STREET 1: ONE COCA COLA PLAZA CITY: ATLANTA STATE: GA ZIP: 30313 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2014-02-27 0 0000909954 KEURIG GREEN MOUNTAIN, INC. GMCR 0000021344 COCA COLA CO ONE COCA-COLA PLAZA ATLANTA GA 30313 0 0 1 0 0001202707 ATLANTIC INDUSTRIES 135 SOUTH CHURCH STREET GEORGE TOWN, GRAND CAYMAN E9 BWI CAYMAN ISLANDS 0 0 1 0 Common Stock, par value $0.10 per share 16684139 I By Atlantic Industries The shares of Common Stock of Keurig Green Mountain, Inc. (formerly known as Green Mountain Coffee Roasters, Inc.) ("GMCR") described in this report are held by Atlantic Industries ("Atlantic"). Atlantic is an indirect wholly owned subsidiary of The Coca-Cola Company, a Delaware corporation ("TCCC"). In TCCC's capacity as ultimate parent company and controlling shareholder, TCCC has voting and investment authority over the GMCR shares of Common Stock held by Atlantic and may be deemed to beneficially own those shares. /s/ Gary P. Fayard, Executive Vice President and Chief Financial Officer of The Coca-Cola Company 2014-03-10 /s/ Gary P. Fayard, President and Director of Atlantic Industries 2014-03-10