0001209191-23-047206.txt : 20230824
0001209191-23-047206.hdr.sgml : 20230824
20230824162804
ACCESSION NUMBER: 0001209191-23-047206
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20230814
FILED AS OF DATE: 20230824
DATE AS OF CHANGE: 20230824
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Neubauer Florence
CENTRAL INDEX KEY: 0001990956
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40630
FILM NUMBER: 231202526
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2023-08-14
0
0001854139
Zevia PBC
ZVIA
0001990956
Neubauer Florence
C/O ZEVIA PBC
15821 VENTURA BLVD., SUITE 145
ENCINO
CA
91436
0
1
0
0
Interim CFO
Class A Common Stock
35250
D
Stock Option (Right to Buy)
4.60
2032-10-06
Class A Common Stock
16502
D
Stock Option (Right to Buy)
3.00
2033-03-17
Class A Common Stock
40650
D
Includes 35,250 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. 10,870 RSUs begin vesting in 1/4 increments on each anniversary of October 6, 2023 and are settled within 30 days following each vesting date. 24,380 RSUs begin vesting in 1/4 increments on each anniversary of March 17, 2024 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 October 6, 2023.
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 March 17, 2024.
/s/ Lorna R. Simms, Attorney-in-Fact for Florence Neubauer
2023-08-24
EX-24
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents that the undersigned hereby constitutes and appoints
each of Lorna R. Simms, Carnation Jafari, Victoria Lippman and any of their
substitutes, signing singly, as the undersigneds true and lawful
attorney-in-fact to:
1. prepare, execute in the undersigneds name and on the undersigneds behalf, and
submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID,
including amendments thereto, and any other document necessary or appropriate to
obtain codes, passwords, and passphrases enabling the undersigned to make
electronic filings with the SEC of reports required by the Securities Exchange
Act of 1934, as amended, or any rule or regulation of the SEC;
2. execute for and on behalf of the undersigned, in the undersigneds capacity as
a director and/or officer of Zevia PBC (the "Company"), Forms 3, 4, and 5 in
accordance with Section 16(a) of the Securities and Exchange Act of 1934, as
amended, and the rules thereunder;
3. do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the SEC and any securities exchange or similar authority; and
4. take any other action of any type whatsoever in connection with the foregoing
which, in the opinion of such attorney-in-fact, may be of benefit to, in the
best interest of, or legally required by, the undersigned, it being understood
that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-facts discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that each such attorney-in-fact, or such
attorney-in-facts substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned also hereby ratifies any action previously taken by
each attorney-in-fact that would have been authorized by this power of attorney
if it has been in effect at the time such action was taken. The undersigned
acknowledges that each attorney-in-fact, in serving in such capacity at the
request of the undersigned, is not assuming, nor is the Company assuming, any of
the undersigneds responsibilities to comply with Section 16 of the Securities
Exchange Act of 1934, as amended.
This Power of Attorney shall remain in full force and effect until the earliest
to occur of either (a) the undersigned is no longer required to file Forms 3, 4,
and 5 with respect to the undersigneds holdings of and transactions in
securities issued by the Company, (b) revocation by the undersigned in a signed
writing delivered to the foregoing attorneys-in-fact, or (c) with respect to
each attorney-in-fact individually, until such attorney-in-fact is no longer
employed by the Company or its subsidiaries.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed on this 17th day of August, 2023.
/s/ Florence Neubauer
Florence Neubauer