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