0000899243-21-030372.txt : 20210728
0000899243-21-030372.hdr.sgml : 20210728
20210728171134
ACCESSION NUMBER: 0000899243-21-030372
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210726
FILED AS OF DATE: 20210728
DATE AS OF CHANGE: 20210728
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Simms Lorna R.
CENTRAL INDEX KEY: 0001871807
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40630
FILM NUMBER: 211123431
MAIL ADDRESS:
STREET 1: 15821 VENTURA BLVD., SUITE 145
CITY: ENCINO
STATE: CA
ZIP: 91436
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Zevia PBC
CENTRAL INDEX KEY: 0001854139
STANDARD INDUSTRIAL CLASSIFICATION: BOTTLED & CANNED SOFT DRINKS CARBONATED WATERS [2086]
IRS NUMBER: 862862492
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 15821 VENTURA BLVD.
STREET 2: SUITE 145
CITY: ENCINO
STATE: CA
ZIP: 91436
BUSINESS PHONE: (310) 202-7000
MAIL ADDRESS:
STREET 1: 15821 VENTURA BLVD.
STREET 2: SUITE 145
CITY: ENCINO
STATE: CA
ZIP: 91436
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-07-26
0
0001854139
Zevia PBC
ZVIA
0001871807
Simms Lorna R.
C/O ZEVIA PBC
15821 VENTURA BLVD., SUITE 145
ENCINO
CA
91436
0
1
0
0
See Remarks
Class A Common Stock
2021-07-26
4
P
0
150
14.00
A
52150
D
Represents shares purchased in the Issuer's reserved share program in connection with the closing of the Issuer's initial public offering (the "IPO").
Includes 52,000 outstanding restricted stock units which vest in full on the earliest to occur of (i) the date that is six months after the IPO, (ii) the termination of the lockup period following the IPO or (iii) the consummation of a change in control of the Issuer, subject to the Reporting Person's continued service to the Issuer.
Senior VP, General Counsel and Corporate Secretary
/s/ Lorna R. Simms
2021-07-28