Natural Grocers by Vitamin Cottage, Inc.·5

Dec 10, 5:02 PM ET

Isely Heather 5

5 · Natural Grocers by Vitamin Cottage, Inc. · Filed Dec 10, 2021

Insider Transaction Report

Form 5
Period: 2021-09-30
Isely Heather
DirectorExec. VP & Corp. SecretaryOther
Transactions
  • Other

    Common Stock

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

    Common Stock

    2020-12-31572,0970 total(indirect: By LLC)
  • Other

    Common Stock

    2020-12-3171,7720 total(indirect: By LLC)
Holdings
  • Common Stock

    (indirect: By her son)
    103,745
  • Common Stock

    941,020
  • Common Stock

    (indirect: By LLC)
    571,850
Footnotes (5)
  • [F1]Exempt pro rata distribution of shares previously held by KIVC 1, LLC to its members upon its dissolution for estate planning purposes. The reporting person was not a member of KIVC 1, LLC and no longer has any pecuniary interest in these shares following the dissolution.
  • [F2]Exempt pro rata distribution of shares previously held by KIVC 2, LLC to its members upon its dissolution for estate planning purposes. The reporting person was not a member of KIVC 2, LLC and no longer has any pecuniary interest in these shares following the dissolution.
  • [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]Represents shares held by Ms. Isely's son, who shares her permanent residence.
  • [F5]The reporting person is a beneficiary through a member trust and disclaims beneficial ownership of these shares except to the extent of her pecuniary interest therein.

Documents

1 file
  • 5
    rdgdoc.xmlPrimary

    FORM 5