0001209191-21-069337.txt : 20211213 0001209191-21-069337.hdr.sgml : 20211213 20211213192221 ACCESSION NUMBER: 0001209191-21-069337 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211209 FILED AS OF DATE: 20211213 DATE AS OF CHANGE: 20211213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McGuigan Brian CENTRAL INDEX KEY: 0001871733 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40630 FILM NUMBER: 211489325 MAIL ADDRESS: STREET 1: 15821 VENTURA BLVD., SUITE 145 CITY: ENCINO STATE: CA ZIP: 91436 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 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-09 0 0001854139 Zevia PBC ZVIA 0001871733 McGuigan Brian C/O ZEVIA PBC 15821 VENTURA BLVD., SUITE 145 ENCINO CA 91436 1 0 0 0 Class A Common Stock 2021-12-09 4 P 0 1160 8.6799 A 1160 D /s/ Lorna R. Simms, Attorney-in-fact for Brian McGuigan 2021-12-13