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

Role
Executive Vice President, Director, 13D Group Member
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, 04:02 PM

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction NGVC Common Stock Other $0 -71.8K -100% $0.00* 0 Dec 31, 2020 By KIVC 1, LLC F1
transaction NGVC Common Stock Other $0 -572K -100% $0.00* 0 Dec 31, 2020 By KIVC 2, LLC F2
transaction NGVC Common Stock Other $0 -616K -100% $0.00* 0 Dec 31, 2020 By ZIVC, LLC F3
holding NGVC Common Stock 104K Sep 30, 2021 By her son F4
holding NGVC Common Stock 572K Sep 30, 2021 By FTVC, LLC F5
holding NGVC Common Stock 941K Sep 30, 2021 Direct
* 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 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.