0000898432-22-000652.txt : 20221206
0000898432-22-000652.hdr.sgml : 20221206
20221206165017
ACCESSION NUMBER: 0000898432-22-000652
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220902
FILED AS OF DATE: 20221206
DATE AS OF CHANGE: 20221206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Laird Norton Co LLC
CENTRAL INDEX KEY: 0001536032
STATE OF INCORPORATION: NV
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40630
FILM NUMBER: 221448273
BUSINESS ADDRESS:
STREET 1: 801 SECOND AVENUE
STREET 2: SUITE 1700
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: 206-501-4528
MAIL ADDRESS:
STREET 1: 801 SECOND AVENUE
STREET 2: SUITE 1700
CITY: SEATTLE
STATE: WA
ZIP: 98104
FORMER NAME:
FORMER CONFORMED NAME: Laird Norton Co
DATE OF NAME CHANGE: 20111130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: White Pine, Inc./WA
CENTRAL INDEX KEY: 0001872982
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40630
FILM NUMBER: 221448274
BUSINESS ADDRESS:
STREET 1: 801 SECOND AVENUE, SUITE 1700
CITY: SEATTLE
STATE: WA
ZIP: 98104
BUSINESS PHONE: 206-464-5245
MAIL ADDRESS:
STREET 1: 801 SECOND AVENUE, SUITE 1700
CITY: SEATTLE
STATE: WA
ZIP: 98104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Zevia PBC
CENTRAL INDEX KEY: 0001854139
STANDARD INDUSTRIAL CLASSIFICATION: BOTTLED & CANNED SOFT DRINKS CARBONATED WATERS [2086]
IRS NUMBER: 862862492
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 15821 VENTURA BLVD.
STREET 2: SUITE 145
CITY: ENCINO
STATE: CA
ZIP: 91436
BUSINESS PHONE: (310) 202-7000
MAIL ADDRESS:
STREET 1: 15821 VENTURA BLVD.
STREET 2: SUITE 145
CITY: ENCINO
STATE: CA
ZIP: 91436
4
1
form4.xml
X0306
4
2022-09-02
0001854139
Zevia PBC
ZVIA
0001872982
White Pine, Inc./WA
801 SECOND AVENUE
SUITE 1700
SEATTLE
WA
98104
true
0001536032
Laird Norton Co LLC
801 SECOND AVENUE
SUITE 1700
SEATTLE
WA
98104
true
Class B Common Stock
2022-09-02
4
C
0
500000
0
D
7055938
D
Class A Common Stock
2022-09-02
4
C
0
500000
0
A
500000
D
Class B Common Stock
2022-12-02
4
C
0
2100000
0
D
4955938
D
Class A Common Stock
2022-12-02
4
C
0
2100000
0
A
2600000
D
Class B Units
2022-09-02
4
C
0
500000
0
D
Class A Common Stock
500000
7055938
D
Class B Units
2022-12-02
4
C
0
2100000
0
D
Class A Common Stock
2100000
4955938
D
This Form 4 is filed jointly by White Pine, Inc. ("White Pine") and Laird Norton Company LLC ("LNC"). The securities are directly owned by White Pine. White Pine is a wholly owned subsidiary of LNC, and accordingly LNC may be deemed to beneficially own the securities owned directly by White Pine.
In connection with the Company's IPO, the Company issued shares of its Class B Common Stock on a one-for-one basis to all holders of Class B Units in Zevia LLC. The Class B Units of Zevia LLC are exchangeable, at the holder's option, on a one-for-one basis into shares of Class A Common Stock of the Issuer. Upon exchange of a Class B Unit, the corresponding share of Class B Common Stock will be automatically cancelled.
On September 2, 2022, White Pine converted 500,000 Class B Units to shares of Class A Common Stock and a corresponding number of shares of Class B Common Stock held by White Pine were cancelled.
On December 2, 2022, White Pine converted 2,100,000 Class B Units to shares of Class A Common Stock and a corresponding number of shares of Class B Common Stock held by White Pine were cancelled.
/s/ Joseph Phelps, attorney-in-fact
2022-12-06
/s/ Joseph Phelps, attorney-in-fact
2022-12-06