0001866581-23-000137.txt : 20231127 0001866581-23-000137.hdr.sgml : 20231127 20231127172957 ACCESSION NUMBER: 0001866581-23-000137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231122 FILED AS OF DATE: 20231127 DATE AS OF CHANGE: 20231127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jemley Charles CENTRAL INDEX KEY: 0001716761 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40798 FILM NUMBER: 231441187 MAIL ADDRESS: STREET 1: C/O FOUR CORNERS PROPERTY TRUST, INC. STREET 2: 591 REDWOOD HIGHWAY, SUITE 1150 CITY: MILL VALLEY STATE: CA ZIP: 94941 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Dutch Bros Inc. CENTRAL INDEX KEY: 0001866581 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] 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: (206) 390-8860 MAIL ADDRESS: STREET 1: PO BOX 1929 CITY: GRANTS PASS STATE: OR ZIP: 97528-0163 4 1 wk-form4_1701124186.xml FORM 4 X0508 4 2023-11-22 0 0001866581 Dutch Bros Inc. BROS 0001716761 Jemley Charles C/O DUTCH BROS INC. PO BOX 1929 GRANTS PASS OR 97528-0163 0 1 0 0 Chief Financial Officer 0 Class A Common Stock 2023-11-22 4 S 0 97000 28.80 D 900429 I By Jemley Living Trust dtd 6/24/2022 Class A Common Stock 169603 D The price reported is the weighted average price. These shares were sold in multiple transactions at prices ranging from $28.48 to $29.02, inclusive. The reporting person undertakes to provide to Dutch Bros Inc., any security holders of Dutch Bros Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price. Held by the Jemley Living Trust dtd 6/24/2022, of which the reporting person is a trustee and has voting and dispositive power over the shares. /s/ Joshua Lute, Attorney-in-Fact for Charles L Jemley 2023-11-27