0001209191-22-045699.txt : 20220812 0001209191-22-045699.hdr.sgml : 20220812 20220812190603 ACCESSION NUMBER: 0001209191-22-045699 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220810 FILED AS OF DATE: 20220812 DATE AS OF CHANGE: 20220812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeBow Greig P. Jr. CENTRAL INDEX KEY: 0001941716 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40630 FILM NUMBER: 221161792 MAIL ADDRESS: STREET 1: C/O ZEVIA PBC STREET 2: 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 2022-08-10 0 0001854139 Zevia PBC ZVIA 0001941716 DeBow Greig P. Jr. C/O ZEVIA PBC 15821 VENTURA BLVD., SUITE 145 ENCINO CA 91436 0 1 0 0 Chief Commercial Officer Class A Common Stock 2022-08-10 4 A 0 58997 0.00 A 58997 D Stock Option (Right to Buy) 3.39 2022-08-10 4 A 0 98804 0.00 A 2032-08-10 Class A Common Stock 98804 98804 D Represents restricted stock units ("RSUs") granted under the Zevia PBC 2021 Equity Incentive Plan (the "2021 Plan"). Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. The RSUs vest in 1/4 increments on each anniversary of August 10, 2022 and are settled within 30 days following each vesting date. Includes 58,997 RSUs. Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. 58,997 RSUs begin vesting in 1/4 increments on each anniversary of August 10, 2022 and are settled within 30 days following each vesting date. Represents options to purchase Class A common Stock of the Issuer granted under the 2021 Plan. These options vest in 1/4 increments on each anniversary of August 10, 2022. /s/ Lorna R. Simms, Attorney-in-Fact for Greig P. DeBow, Jr. 2022-08-12