0001209191-22-009618.txt : 20220214 0001209191-22-009618.hdr.sgml : 20220214 20220214214313 ACCESSION NUMBER: 0001209191-22-009618 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: Gay Robert CENTRAL INDEX KEY: 0001871607 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40630 FILM NUMBER: 22636818 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 0001871607 Gay Robert C/O ZEVIA PBC 15821 VENTURA BLVD., SUITE 145 ENCINO CA 91436 0 1 0 0 Chief Strategy Officer & EVP Class A Common Stock 2022-02-10 4 M 0 90000 0.01 A 940000 D Class A Common Stock 2022-02-10 4 D 0 118 7.64 D 939882 D Class A Common Stock 2022-02-10 4 F 0 26616 9.38 D 913266 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 850,000 restricted stock units ("RSUs"). Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. 700,000 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 Robert Gay 2022-02-14