0001209191-22-048557.txt : 20220902 0001209191-22-048557.hdr.sgml : 20220902 20220902173243 ACCESSION NUMBER: 0001209191-22-048557 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220831 FILED AS OF DATE: 20220902 DATE AS OF CHANGE: 20220902 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: 221226277 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 2022-08-31 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 & CEO Class A Common Stock 2022-08-31 4 P 0 5500 4.52 A 5500 I By Spouse Class A Common Stock 177573 D Represents shares held by Reporting Person's spouse. Includes 177,573 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. 100,000 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. 77,573 RSUs begin vesting in 1/4 increments on each anniversary of March 17, 2022 and are settled within 30 days following each vesting date. /s/ Lorna R. Simms, Attorney-in-Fact for Amy Taylor 2022-09-02