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Filing Detail
Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0001209191-21-056090
Filing Date
2021-09-14
Accepted
2021-09-14 21:33:58
Documents
2
Period of Report
2021-09-14

Document Format Files

Seq Description Document Type Size
1 FORM 3 SUBMISSION doc3.html 3  
1 FORM 3 SUBMISSION doc3.xml 3 1512
2 POA DOCUMENT poa.txt EX-24.3_1008457 3654
  Complete submission text file 0001209191-21-056090.txt   6476
Mailing Address 880 CARILLON PARKWAY ST. PETERSBURG FL 33702
Business Address
Broader Shelley G. (Reporting) CIK: 0001426843 (see all company filings)

Type: 3 | Act: 34 | File No.: 001-40798 | Film No.: 211254014

Mailing Address PO BOX 1929 GRANTS PASS OR 97528-0163
Business Address 110 SW 4TH STREET GRANTS PASS OR 97526 (206) 390-8860
Dutch Bros Inc. (Issuer) CIK: 0001866581 (see all company filings)

IRS No.: 871041305 | State of Incorp.: DE | Fiscal Year End: 1231
SIC: 5810 Retail-Eating & Drinking Places