0001209191-22-020371.txt : 20220321 0001209191-22-020371.hdr.sgml : 20220321 20220321191636 ACCESSION NUMBER: 0001209191-22-020371 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220317 FILED AS OF DATE: 20220321 DATE AS OF CHANGE: 20220321 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mikhail Hany CENTRAL INDEX KEY: 0001871742 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40630 FILM NUMBER: 22756823 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 2022-03-17 0 0001854139 Zevia PBC ZVIA 0001871742 Mikhail Hany C/O ZEVIA PBC 15821 VENTURA BLVD., SUITE 145 ENCINO CA 91436 0 1 0 0 Chief Accounting Officer Class A Common Stock 2022-03-17 4 A 0 8245 0.00 A 33245 D Stock Option (Right to Buy) 4.12 2022-03-17 4 A 0 13557 0.00 A 2032-03-17 Class A Common Stock 13557 13557 D Represents restricted stock units ("RSUs") granted under the Zevia PBC 2021 Equity Incentive Plan (the "2021 Plan"). Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. The RSUs vest in 1/4 increments on each anniversary of March 17, 2022 and are settled within 30 days following each vesting date. Includes 32,245 RSUs. Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. 24,000 RSUs are vested in full, subject to deferred settlement in 1/3 increments on each of January 17, 2023, January 17, 2024, and January 17, 2025. 8,245 RSUs begin vesting in 1/4 increments on each anniversary of March 17, 2022 and are settled within 30 days following each vesting date. Represents options to purchase Class A common Stock of the Issuer granted under the 2021 Plan. These options vest in 1/4 increments on each anniversary of March 17, 2022. /s/ Lorna R. Simms, Attorney-in-Fact for Hany Mikhail 2022-03-21