0001866581-24-000072.txt : 20240311
0001866581-24-000072.hdr.sgml : 20240311
20240311185230
ACCESSION NUMBER: 0001866581-24-000072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240308
FILED AS OF DATE: 20240311
DATE AS OF CHANGE: 20240311
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jemley Charles
CENTRAL INDEX KEY: 0001716761
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40798
FILM NUMBER: 24739660
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]
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: (206) 390-8860
MAIL ADDRESS:
STREET 1: PO BOX 1929
CITY: GRANTS PASS
STATE: OR
ZIP: 97528-0163
4
1
wk-form4_1710197539.xml
FORM 4
X0508
4
2024-03-08
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
2024-03-08
4
G
0
169603
0
D
0
D
Class A Common Stock
2024-03-08
4
G
0
169603
0
A
1070032
I
By Jemley Living Trust dtd 6/24/2022
On March 8, 2024, the reporting person transferred 169,603 shares to 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.
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
2024-03-11