UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM SD
Specialized Disclosure Report
KEURIG GREEN MOUNTAIN, INC.
(Exact name of registrant as specified in its charter)
Delaware |
| 1-12340 |
| 03-0339228 |
(State or other jurisdiction |
| (Commission |
| (I.R.S. Employer Identification Number) |
33 Coffee Lane, Waterbury, Vermont 05676
(Address of registrant’s principal executive office) (Zip Code)
Michael J. Degnan
(781) 418-3120
(Name and telephone number, including area code, of person to contact in connection with this report)
Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this applies:
x Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2013
Section 1 — Conflict Minerals Disclosure
Item 1.01 Conflict Minerals Disclosure and Report
Conflict Minerals Disclosure
This Form SD of Keurig Green Mountain, Inc. (the “Company”) is filed pursuant to Rule 13p-1 promulgated under the Securities Exchange Act of 1934, as amended, for the reporting period January 1, 2013 to December 31, 2013.
A copy of the Company’s Conflict Minerals Report is provided as Exhibit 1.02 to this Form SD, and is publicly available at http://www.keuriggreenmountain.com/Sustainability/ReportsAndDisclosures/ConflictMinerals.aspx.
Item 1.02 Exhibit
As specified in Section 2, Item 2.01 of this Form SD, the Company is hereby filing its Conflict Minerals Report as Exhibit 1.02 to this report.
Section 2 — Exhibits
Item 2.01 Exhibits
The following exhibit is filed as part of this report.
Exhibit No. |
| Description |
1.02 |
| Conflict Minerals Report of Keurig Green Mountain, Inc. |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
KEURIG GREEN MOUNTAIN, INC.
By: | /s/ Robert P. Ostryniec |
| May 30, 2014 |
| Robert P. Ostryniec |
| (Date) |
| Chief Product Supply Officer |
|
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