0001866581-24-000144.txt : 20240514
0001866581-24-000144.hdr.sgml : 20240514
20240514120152
ACCESSION NUMBER: 0001866581-24-000144
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240513
FILED AS OF DATE: 20240514
DATE AS OF CHANGE: 20240514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boersma Travis
CENTRAL INDEX KEY: 0001883154
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40798
FILM NUMBER: 24942360
MAIL ADDRESS:
STREET 1: C/O DUTCH BROS INC.
STREET 2: PO BOX 1929
CITY: GRANTS PASS
STATE: OR
ZIP: 97528
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Dutch Bros Inc.
CENTRAL INDEX KEY: 0001866581
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 871041305
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 110 SW 4TH STREET
CITY: GRANTS PASS
STATE: OR
ZIP: 97526
BUSINESS PHONE: (541) 955-4700
MAIL ADDRESS:
STREET 1: PO BOX 1929
CITY: GRANTS PASS
STATE: OR
ZIP: 97528-0163
4
1
wk-form4_1715702502.xml
FORM 4
X0508
4
2024-05-13
0
0001866581
Dutch Bros Inc.
BROS
0001883154
Boersma Travis
C/O DUTCH BROS INC.
110 SW 4TH STREET
GRANTS PASS
OR
97526
1
1
1
0
Executive Chairman of Board
1
Class A Common Stock
2024-05-13
4
S
0
27135
36.0185
D
2116783
I
By DM Trust Aggregator, LLC
Class A Common Stock
2024-05-13
4
S
0
27224
36.0183
D
1281743
I
By DM Individual Aggregator, LLC
As indicated by the checkbox above, this transaction was effected automatically pursuant to a Rule 10b5-1 trading plan adopted by DM Trust Aggregator, LLC on August 15, 2023.
Represents the weighted average sale price. These shares were sold in multiple transactions at prices ranging from $36.0000 to $36.2000 inclusive. The reporting person undertakes
to provide the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at
each separate price within the range set forth above.
As indicated by the checkbox above, this transaction was effected automatically pursuant to a Rule 10b5-1 trading plan adopted by DM Individual Aggregator, LLC on August 15,
2023.
Represents the weighted average sale price. These shares were sold in multiple transactions at prices ranging from $36.0000 to $36.1200 inclusive. The reporting person undertakes
to provide the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at
each separate price within the range set forth above.
/s/ Thomas P. Conaghan, Attorney-in-Fact for Travis Boersma
2024-05-14