Kemper Isely - Sep 30, 2021 Form 5 Insider Report for Natural Grocers by Vitamin Cottage, Inc. (NGVC)

Role
Chairman & Co-President, Director, 13D Group Member, 10%+ Owner
Signature
/s/ Kemper Isely
Stock symbol
NGVC
Transactions as of
Sep 30, 2021
Transactions value $
$0
Form type
5
Date filed
11/12/2021, 03:03 PM

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction NGVC Common Stock Other $0 +10 +0% $0.00 3.12M Nov 25, 2020 Direct F1
transaction NGVC Common Stock Other $0 -6.72K -100% $0.00* 0 Nov 25, 2020 By KIVC 3, LLC F2
transaction NGVC Common Stock Other $0 -616K -100% $0.00* 0 Dec 31, 2020 By ZIVC, LLC F3
transaction NGVC Common Stock Other $0 -202K -100% $0.00* 0 Dec 31, 2020 By HIVC 1, LLC F4
transaction NGVC Common Stock Other $0 -479K -100% $0.00* 0 Dec 31, 2020 By HIVC 2, LLC F5
transaction NGVC Common Stock Gift $0 -500 -0.02% $0.00 3.12M Apr 1, 2021 Direct F6
holding NGVC Common Stock 105K Sep 30, 2021 By son F7
holding NGVC Common Stock 572K Sep 30, 2021 By FTVC, LLC F8
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.