Kivc 2, Llc - Sep 30, 2021 Form 5 Insider Report for Natural Grocers by Vitamin Cottage, Inc. (NGVC)

Signature
/s/ Kemper Isely, by Power of Attorney
Stock symbol
NGVC
Transactions as of
Sep 30, 2021
Transactions value $
$0
Form type
5
Date filed
12/10/2021, 04:01 PM

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction NGVC Common Stock Other $0 -572K -100% $0.00* 0 Dec 31, 2020 By KIVC 2, LLC F1
transaction NGVC Common Stock Other $0 -616K -100% $0.00* 0 Dec 31, 2020 By ZIVC, LLC F2
transaction NGVC Common Stock Other $0 -295K -100% $0.00* 0 Dec 31, 2020 By EIVC 2, LLC F3
transaction NGVC Common Stock Other $0 -479K -100% $0.00* 0 Dec 31, 2020 By HIVC 2, LLC F4
* 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 the reporting person (KIVC 2, LLC) to its members upon its dissolution for estate planning purposes.
F2 Exempt pro rata distribution of shares previously held by the reporting person (ZIVC, LLC) to its members upon its dissolution for estate planning purposes.
F3 Exempt pro rata distribution of shares previously held by the reporting person (EIVC 2, LLC) to its members upon its dissolution for estate planning purposes.
F4 Exempt pro rata distribution of shares previously held by the reporting person (HIVC 2, LLC) to its members upon its dissolution for estate planning purposes.