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Shareholder Class Action Filed Against Keurig Green Mountain, Inc.

Please list your purchase and sale transaction(s) in the Keurig Green Mountain, Inc. security that is subject of this action during the Class Period (between February 4, 2015 and May 14, 2015):

Information Sheet
* Denotes required field
# of Shares
Price per Share
Principal Amount
Amount Paid
Series or CUSIP
# of Contracts
Price per Contract
Exercise Price
Expiration Date
Did you purchase shares of Keurig Green Mountain, Inc. prior to the Class Period?
Are you a current or former employee of Keurig Green Mountain, Inc.?
The submission of this form does not create an attorney-client relationship, nor an obligation on the part of Kessler Topaz or you to file a lead plaintiff motion in this matter. Any information you submit will be maintained as confidential. If Kessler Topaz, in its sole discretion, believes that you might be an appropriate lead plaintiff candidate, Kessler Topaz will contact you to discuss the matter and whether to establish an attorney client relationship. By signing this form you are authorizing us to contact you regarding this case and/or future cases.
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