0001209191-22-044316.txt : 20220803
0001209191-22-044316.hdr.sgml : 20220803
20220803181038
ACCESSION NUMBER: 0001209191-22-044316
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220801
FILED AS OF DATE: 20220803
DATE AS OF CHANGE: 20220803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Taylor Amy
CENTRAL INDEX KEY: 0001871800
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40630
FILM NUMBER: 221134023
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
2022-08-01
0
0001854139
Zevia PBC
ZVIA
0001871800
Taylor Amy
C/O ZEVIA PBC
15821 VENTURA BLVD., SUITE 145
ENCINO
CA
91436
1
1
0
0
President and Director
Stock Option (Right to Buy)
7.50
2022-08-01
4
A
0
231872
0.00
A
2032-08-01
Class A Common Stock
231872
231872
D
Stock Option (Right to Buy)
3.55
2022-08-01
4
A
0
231873
0.00
A
2032-08-01
Class A Common Stock
231873
231873
D
Represents options to purchase 231,872 shares of Class A Common Stock of the Issuer granted under the Zevia PBC 2021 Equity Incentive Plan (the "2021 Plan"). These options vest in 1/4 increments on each anniversary of August 1, 2022.
Represents options to purchase 231,873 shares of Class A Common Stock of the Issuer granted under the 2021 Plan. These options vest in 1/4 increments on each anniversary of August 1, 2022.
/s/ Lorna R. Simms, Attorney-in-fact for Amy Taylor
2022-08-03