0001866581-23-000062.txt : 20230403 0001866581-23-000062.hdr.sgml : 20230403 20230403185600 ACCESSION NUMBER: 0001866581-23-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230331 FILED AS OF DATE: 20230403 DATE AS OF CHANGE: 20230403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: George Kathryn CENTRAL INDEX KEY: 0001883130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40798 FILM NUMBER: 23794452 MAIL ADDRESS: STREET 1: C/O DUTCH BROS INC. STREET 2: PO BOX 1929 CITY: GRANTS PASS STATE: OR ZIP: 97528 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Dutch Bros Inc. CENTRAL INDEX KEY: 0001866581 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] 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 wf-form4_168056249460947.xml FORM 4 X0407 4 2023-03-31 0 0001866581 Dutch Bros Inc. BROS 0001883130 George Kathryn C/O DUTCH BROS INC. PO BOX 1929 GRANTS PASS OR 97528-0163 1 0 0 0 0 Class A Common Stock 2023-03-31 4 M 0 627 0 A 1881 D Restricted Stock Units 2023-03-31 4 M 0 627 0 D Class A Common Stock 627.0 628 D The restricted stock units represent a contingent right to receive a corresponding number of shares of the Class A Common Stock of the Issuer upon vesting. The reporting person received an award of restricted stock units, 25% of which will vest on each of September 30, 2022, December 31, 2022, March 31, 2023, and the remaining 25% will vest on the earlier of (i) June 30, 2023, and (ii) the date of the Issuer's 2023 annual stockholder meeting. /s/ Joshua Lute, Attorney-in-Fact for Kathryn George 2023-04-03