0001866581-24-000166.txt : 20240515
0001866581-24-000166.hdr.sgml : 20240515
20240515121300
ACCESSION NUMBER: 0001866581-24-000166
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240514
FILED AS OF DATE: 20240515
DATE AS OF CHANGE: 20240515
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Davis Thomas James
CENTRAL INDEX KEY: 0001884188
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40798
FILM NUMBER: 24948594
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_1715789571.xml
FORM 4
X0508
4
2024-05-14
0
0001866581
Dutch Bros Inc.
BROS
0001884188
Davis Thomas James
C/O DUTCH BROS INC.
PO BOX 1929
GRANTS PASS
OR
97528-0163
1
0
0
0
0
Class A Common Stock
2024-05-14
4
M
0
938
0
A
9293
D
Restricted Stock Units
2024-05-14
4
M
0
938
0
D
Class A Common Stock
938
0
D
Restricted Stock Units
2024-05-14
4
A
0
3049
0
A
Class A Common Stock
3049
3049
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A Common Stock.
The reporting person received an award of restricted stock units, 25% of which vested on each of September 30, 2023, December 31, 2023, March 31, 2024, and the date of the Issuer's 2024 annual stockholder meeting, which occurred on May 14, 2024.
The reporting person received an award of restricted stock units, 25% of which will vest on each of September 30, 2024, December 31, 2024, March 31, 2025 and the remaining 25% will vest on the earlier of (i) June 30, 2025, and (ii) the date of the Issuer's 2025 annual stockholder meeting.
/s/ Joshua Lute, Attorney-in-Fact for Thomas J Davis
2024-05-15