0001209191-22-036513.txt : 20220613 0001209191-22-036513.hdr.sgml : 20220613 20220613202342 ACCESSION NUMBER: 0001209191-22-036513 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220609 FILED AS OF DATE: 20220613 DATE AS OF CHANGE: 20220613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hayes Jacqueline CENTRAL INDEX KEY: 0001871713 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40630 FILM NUMBER: 221013191 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 2022-06-09 0 0001854139 Zevia PBC ZVIA 0001871713 Hayes Jacqueline C/O ZEVIA PBC 15821 VENTURA BLVD., SUITE 145 ENCINO CA 91436 1 0 0 0 Class A Common Stock 2022-06-09 4 A 0 29825 0.00 A 55432 D Represents restricted stock units ("RSUs") granted under the Zevia PBC 2021 Equity Incentive Plan. Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. The RSUs vest on the earlier to occur of (i) June 9, 2023 or (ii) the Issuer's 2023 annual meeting of stockholders and are settled within 30 days following such vesting date. Includes 55,432 RSUs. Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. 20,000 RSUs are vested in full, subject to deferred settlement in 1/3 increments on each of January 17, 2023, January 17, 2024, and January 17, 2025. 5,607 RSUs vested on the date of the Issuer's 2022 annual meeting of stockholders and will settle within 30 days of such vesting date. 29,825 RSUs vest on the earlier to occur of (i) June 9, 2023 or (ii) the Issuer's 2023 annual meeting of stockholders and are settled within 30 days following such vesting date. /s/ Lorna R. Simms, Attorney-in-Fact for Jacqueline Hayes 2022-06-13