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