0001209191-22-009605.txt : 20220214
0001209191-22-009605.hdr.sgml : 20220214
20220214211924
ACCESSION NUMBER: 0001209191-22-009605
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220210
FILED AS OF DATE: 20220214
DATE AS OF CHANGE: 20220214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Margolis Harry
CENTRAL INDEX KEY: 0001871729
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40630
FILM NUMBER: 22636726
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
2022-02-10
0
0001854139
Zevia PBC
ZVIA
0001871729
Margolis Harry
C/O ZEVIA PBC
15821 VENTURA BLVD., SUITE 145
ENCINO
CA
91436
0
1
0
0
Chief Operating Officer
Class A Common Stock
2022-02-10
4
M
0
90000
0.01
A
810000
D
Class A Common Stock
2022-02-10
4
D
0
118
7.64
D
809882
D
Class A Common Stock
2022-02-10
4
F
0
31863
9.38
D
778019
D
Restricted Phantom Units
0.01
2022-02-10
4
M
0
90000
0.00
D
2022-02-10
2029-01-01
Class A Common Stock
90000
0
D
Represents 90,000 restricted phantom units that vested on January 21, 2022 and were settled on February 10, 2022. Each restricted phantom unit represented the right to receive a number of shares of Class A Common Stock of the Issuer with a fair market value equal to (i) the total number of restricted phantom units, multiplied by (ii) the difference between (x) the fair market value of a share of Class A Common Stock of the Issuer on the vesting date and (y) the exercise price per unit.
The transaction reported reflects the withholding of shares of Class A Common Stock in satisfaction of the Reporting Person's tax liability in connection with the settlement of the restricted phantom units.
Includes 720,000 restricted stock units ("RSUs"). Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. 570,000 RSUs will vest as follows: (i) 100% on the consummation of a change of control or (ii) in equal monthly installments over the 36-month period following January 17, 2022, and 150,000 RSUs are vested in full, subject to deferred settlement in one-third increments on each of January 17, 2023, January 17, 2024, and January 17, 2025.
/s/ Lorna R. Simms, Attorney-in-Fact for Harry Margolis
2022-02-14