Natural Grocers by Vitamin Cottage, Inc.·5

Nov 12, 4:03 PM ET

Isely Kemper 5

5 · Natural Grocers by Vitamin Cottage, Inc. · Filed Nov 12, 2021

Insider Transaction Report

Form 5
Period: 2021-09-30
Isely Kemper
DirectorChairman & Co-President10% OwnerOther
Transactions
  • Other

    Common Stock

    2020-12-31616,2540 total(indirect: By LLC)
  • Other

    Common Stock

    2020-12-31201,8560 total(indirect: By LLC)
  • Other

    Common Stock

    2020-11-256,7160 total(indirect: By LLC)
  • Other

    Common Stock

    2020-12-31478,7880 total(indirect: By LLC)
  • Gift

    Common Stock

    2021-04-015003,117,812 total
  • Other

    Common Stock

    2020-11-25+103,118,312 total
Holdings
  • Common Stock

    (indirect: By LLC)
    571,850
  • Common Stock

    (indirect: By son)
    104,745
Footnotes (8)
  • [F1]Exempt pro rata distribution of shares previously held by KIVC 3, LLC to the reporting person upon its dissolution for estate planning purposes.
  • [F2]Exempt pro rata distribution of shares previously held by KIVC 3, LLC to its members upon its dissolution for estate planning purposes. The reporting person was a member of KIVC 3, LLC but no longer has any pecuniary interest in these shares following this transaction, except as disclosed above.
  • [F3]Exempt pro rata distribution of shares previously held by ZIVC, LLC to its members upon its dissolution for estate planning purposes. The reporting person was not a member of ZIVC LLC and no longer has any pecuniary interest in these shares following the dissolution.
  • [F4]Exempt pro rata distribution of shares previously held by HIVC 1, LLC to its members upon its dissolution for estate planning purposes. The reporting person was not a member of HIVC 1, LLC and no longer has any pecuniary interest in these shares following the dissolution.
  • [F5]Exempt pro rata distribution of shares previously held by HIVC 2, LLC to its members upon its dissolution for estate planning purposes. The reporting person was not a member of HIVC 2, LLC and no longer has any pecuniary interest in these shares following the dissolution.
  • [F6]Gift transfer of shares to reporting person's son-in-law.
  • [F7]Represents shares held by the reporting person's son, who shares his primary residence.
  • [F8]The reporting person is a beneficiary through a member trust and disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.

Documents

1 file
  • 5
    rdgdoc.xmlPrimary

    FORM 5