0001866581-22-000065.txt : 20220602 0001866581-22-000065.hdr.sgml : 20220602 20220602162907 ACCESSION NUMBER: 0001866581-22-000065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220601 FILED AS OF DATE: 20220602 DATE AS OF CHANGE: 20220602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gillett Stephen CENTRAL INDEX KEY: 0001492029 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40798 FILM NUMBER: 22991201 MAIL ADDRESS: STREET 1: 2401 UTAH AVE S CITY: SEATTLE STATE: WA ZIP: 98134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Dutch Bros Inc. CENTRAL INDEX KEY: 0001866581 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] IRS NUMBER: 871041305 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 110 SW 4TH STREET CITY: GRANTS PASS STATE: OR ZIP: 97526 BUSINESS PHONE: (206) 390-8860 MAIL ADDRESS: STREET 1: PO BOX 1929 CITY: GRANTS PASS STATE: OR ZIP: 97528-0163 4 1 wf-form4_165420173158696.xml FORM 4 X0306 4 2022-06-01 0 0001866581 Dutch Bros Inc. BROS 0001492029 Gillett Stephen C/O DUTCH BROS INC. PO BOX 1929 GRANTS PASS OR 97528-0163 1 0 0 0 Restricted Stock Units 2022-06-01 4 A 0 2508 0 A Class A Common Stock 2508.0 2508 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A Common Stock. The reporting person received an award of restricted stock units, 25% of which will vest on each of September 30, 2022, December 31, 2022, March 31, 2023, and the remaining 25% will vest on the earlier of (i) June 30, 2023, and (ii) the date of the Issuer's 2023 annual stockholder meeting. /s/ Joshua Lute, Attorney-in-Fact for Stephen Gillett 2022-06-02