UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
WASHINGTON,
D.C. 20549
|
Vitamin
Shoppe, Inc.
|
Common
Stock
|
92849E101
|
December
31, 2009
|
CUSIP
No. 92849E101
|
13G
|
Page 2
of 10 Pages
|
1
|
NAMES
OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Jeffrey Horowitz
|
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
(a) o
(b) x
|
3
|
SEC
USE ONLY
|
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United States
|
NUMBER OF
SHARES
|
5
|
SOLE
VOTING POWER
143,203 1
|
BENEFICIALLY
OWNED BY
|
6
|
SHARED
VOTING POWER
214,803 1
|
EACH
REPORTING
|
7
|
SOLE
DISPOSITIVE POWER
143,203 1
|
PERSON
WITH
|
8
|
SHARED
DISPOSITIVE POWER
214,803 1
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
358,006 1,
2
|
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
x
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.3%
|
|
12
|
TYPE
OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
|
CUSIP
No. 92849E101
|
13G
|
Page 3
of 10 Pages
|
1
|
NAMES
OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Helen Horowitz
|
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
(a) o
(b) x
|
3
|
SEC
USE ONLY
|
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United States
|
NUMBER OF
SHARES
|
5
|
SOLE
VOTING POWER
143,203 1
|
BENEFICIALLY
OWNED BY
|
6
|
SHARED
VOTING POWER
214,803 1
|
EACH
REPORTING
|
7
|
SOLE
DISPOSITIVE POWER
143,203 1
|
PERSON
WITH
|
8
|
SHARED
DISPOSITIVE POWER
214,803 1
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
358,006 1,
2
|
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
x
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.3%
|
|
12
|
TYPE
OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
|
CUSIP
No. 92849E101
|
13G
|
Page 4
of 10 Pages
|
1
|
NAMES
OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Jeffrey Horowitz April 1996
GRAT
|
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
(a) o
(b) x
|
3
|
SEC
USE ONLY
|
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
New Jersey
|
NUMBER OF
SHARES
|
5
|
SOLE
VOTING POWER
35,800
|
BENEFICIALLY
OWNED BY
|
6
|
SHARED
VOTING POWER
0
|
EACH
REPORTING
|
7
|
SOLE
DISPOSITIVE POWER
35,800
|
PERSON
WITH
|
8
|
SHARED
DISPOSITIVE POWER
0
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
35,800 1
|
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
x
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.1%
|
|
12
|
TYPE
OF REPORTING PERSON (SEE INSTRUCTIONS)
OO
|
CUSIP
No. 92849E101
|
13G
|
Page 5
of 10 Pages
|
1
|
NAMES
OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Helen Horowitz April 1996
GRAT
|
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
(a) o
(b) x
|
3
|
SEC
USE ONLY
|
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
New Jersey
|
NUMBER OF
SHARES
|
5
|
SOLE
VOTING POWER
35,800
|
BENEFICIALLY
OWNED BY
|
6
|
SHARED
VOTING POWER
0
|
EACH
REPORTING
|
7
|
SOLE
DISPOSITIVE POWER
35,800
|
PERSON
WITH
|
8
|
SHARED
DISPOSITIVE POWER
0
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
35,800 1
|
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
x
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.1%
|
|
12
|
TYPE
OF REPORTING PERSON (SEE INSTRUCTIONS)
OO
|
(i) |
Jeffrey
Horowitz;
|
(ii) | Helen Horowitz; |
(iii) | Jeffrey Horowitz April 1996 GRAT; and |
(iv) | Helen Horowitz April 1996 GRAT. |
(a) | Amount beneficially owned: | |
(i)
Jeffrey Horowitz may be deemed to beneficially own 358,006 shares of
Common Stock (subject to the Agreement (as defined below)) consisting
of: (i) 143,203 shares owned by Jeffrey Horowitz in his individual
capacity, (ii) 71,600 shares owned by Jeffrey Horowitz in his capacity as
co-trustee to each of Jeffrey Horowitz April 1996 GRAT and Helen Horowitz
April 1996 GRAT, and (iii) 143,203 shares owned by Helen Horowitz.
Jeffrey Horowitz disclaims beneficial ownership of the shares owned by
Helen Horowitz.
|
||
(ii) Helen Horowitz may be deemed to beneficially own 358,006 shares of Common Stock (subject to the Agreement (as defined below)) consisting of: (i) 143,203 shares owned by Helen Horowitz in her individual capacity, (ii) 71,600 shares owned by Helen Horowitz in her capacity as co-trustee to each of Jeffrey Horowitz April 1996 GRAT and Helen Horowitz April 1996 GRAT, and (iii) 143,203 shares owned by Jeffrey Horowitz. Helen Horowitz disclaims beneficial ownership of the shares owned by Jeffrey Horowitz. | ||
(iii) Jeffrey Horowitz April 1996 GRAT beneficially owns 35,800 shares of Common Stock (subject to the Agreement (as defined below)). | ||
(iv) Helen Horowitz April 1996 GRAT beneficially owns 35,800 shares of Common Stock (subject to the Agreement (as defined below)). | ||
(b) | Percent of class: | |
Based upon 26,676,782 shares of Common Stock outstanding as of November 6, 2009, as reflected in the Issuer’s Form 10-Q for the quarterly period ended September 26, 2009: | ||
(i) Jeffrey Horowitz may be deemed to beneficially own approximately 1.3% of the outstanding shares of Common Stock of the Issuer. | ||
(ii) Helen Horowitz may be deemed to beneficially own approximately 1.3% of the outstanding shares of Common Stock of the Issuer | ||
(iii) Jeffrey Horowitz April 1996 GRAT beneficially owns approximately 0.1% of the outstanding shares of Common Stock of the Issuer. | ||
(iv) Helen Horowitz April 1996 GRAT beneficially owns approximately 0.1% of the outstanding shares of Common Stock of the Issuer. | ||
(c) |
Number
of shares as to which such person has:
|
|
(i) | Sole power to vote or to direct the vote: | |
See the response to Item 5 of the attached cover pages. | ||
(ii) | Shared power to vote or to direct the vote: | |
See the response to Item 6 of the attached cover pages. | ||
(iii) | Sole power to dispose or to direct the disposition: | |
See the response to Item 7 of the attached cover pages. | ||
(iv) | Shared power to dispose or to direct the disposition: | |
See the response to Item 8 of the attached cover pages. | ||
Exhibit
Number
|
Exhibit
Description
|
|
99.1
|
Joint
Filing Agreement
|
JEFFREY HOROWITZ | |||
|
/s/ Jeffrey Horowitz | ||
Jeffrey Horowitz | |||
HELEN HOROWITZ | |||
|
/s/ Helen Horowitz | ||
Helen Horowitz | |||
JEFFREY HOROWITZ APRIL 1996 GRAT | |||
|
/s/ Jeffrey Horowitz | ||
Jeffrey Horowitz | |||
as Trustee | |||
|
/s/ Helen Horowitz | ||
Helen Horowitz | |||
as Trustee |
HELEN HOROWITZ APRIL 1996 GRAT | |||
|
/s/ Jeffrey Horowitz | ||
Jeffrey Horowitz | |||
as Trustee | |||
|
/s/ Helen Horowitz | ||
Helen Horowitz | |||
as Trustee |