0001866581-24-000004.txt : 20240102 0001866581-24-000004.hdr.sgml : 20240102 20240102143502 ACCESSION NUMBER: 0001866581-24-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240102 DATE AS OF CHANGE: 20240102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: George Kathryn CENTRAL INDEX KEY: 0001883130 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40798 FILM NUMBER: 24501941 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] ORGANIZATION NAME: 07 Trade & Services 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 wk-form4_1704224094.xml FORM 4 X0508 4 2023-12-31 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 2023-12-31 4 M 0 938 0 A 7417 D Restricted Stock Units 2023-12-31 4 M 0 938 0 D Class A Common Stock 938 1876 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, 2023, December 31, 2023, March 31, 2024, and the remaining 25% will vest on the earlier of (i) June 30, 2024, and (ii) the date of the Issuer's 2024 annual stockholder meeting. /s/ Joshua Lute, Attorney-in-Fact for Kathryn George 2024-01-02