0001062993-23-022435.txt : 20231212
0001062993-23-022435.hdr.sgml : 20231212
20231212163041
ACCESSION NUMBER: 0001062993-23-022435
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231211
FILED AS OF DATE: 20231212
DATE AS OF CHANGE: 20231212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAVIN THOMAS E
CENTRAL INDEX KEY: 0001259482
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41275
FILM NUMBER: 231481611
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BRC Inc.
CENTRAL INDEX KEY: 0001891101
STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080]
IRS NUMBER: 873277812
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1144 S 500 W
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84101
BUSINESS PHONE: (801) 874-1189
MAIL ADDRESS:
STREET 1: 1144 S 500 W
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84101
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0508
4
2023-12-11
0001891101
BRC Inc.
BRCC
0001259482
DAVIN THOMAS E
C/O BRC INC.
1144 S 500 W
SALT LAKE CITY
UT
84101
1
1
0
0
Co-Chief Executive Officer
0
Class B Common Stock
2023-12-11
4
J
0
300000
0
D
7094756
D
Class B Common Stock
2023-12-11
4
J
0
100000
0
D
1205114
I
Held through an LLC
Class A Common Stock
2023-12-11
4
C
0
300000
0
A
316597
D
Class A Common Stock
2023-12-11
4
C
0
100000
0
A
100000
I
Held through an LLC
Class A Common Stock
2023-12-11
4
S
0
300000
3.85
D
16597
D
Class A Common Stock
2023-12-11
4
S
0
100000
3.85
D
0
I
Held through an LLC
Common Units
2023-12-11
4
C
0
300000
0
D
2022-08-09
Class A Common Stock
300000
7094756
D
Common Units
2023-12-11
4
C
0
100000
0
D
2022-08-09
Class A Common Stock
100000
1205114
I
Held through an LLC
The reported securities provide no economic rights in BRC Inc. (the "Issuer") to the holder thereof but each share of Class B Common Stock ("Class B Share") entitles the holder to one vote as a common stockholder of the Issuer.
Represents the exchange of an aggregate of 400,000 common units of Authentic Brands LLC for an equivalent number of shares of Class A Common Stock of the Issuer and the forfeiture of an equivalent number of shares of Class B Common Stock of the Issuer.
The reported securities are common units of Authentic Brands LLC (the "Common Units"). These Common Units may be exchanged by the holder (upon forfeiture of an equivalent number of Class B Shares) for an equivalent number of shares of Class A Common Stock of the Issuer (or the cash value thereof, at the election of the Issuer).
/s/ Andrew McCormick, as attorney-in-fact
2023-12-12