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