0001866581-24-000062.txt : 20240304
0001866581-24-000062.hdr.sgml : 20240304
20240304124540
ACCESSION NUMBER: 0001866581-24-000062
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240301
FILED AS OF DATE: 20240304
DATE AS OF CHANGE: 20240304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAVILA TANA
CENTRAL INDEX KEY: 0001981137
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40798
FILM NUMBER: 24713934
MAIL ADDRESS:
STREET 1: 110 SW 4TH STREET
CITY: GRANTS PASS
STATE: OR
ZIP: 97526
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_1709574321.xml
FORM 4
X0508
4
2024-03-01
0
0001866581
Dutch Bros Inc.
BROS
0001981137
DAVILA TANA
C/O DUTCH BROS INC.
PO BOX 1929
GRANTS PASS
OR
97528-0163
0
1
0
0
Chief Marketing Officer
0
Restricted Stock Units
2024-03-01
4
A
0
16852
0
A
Class A Common Stock
16852
16852
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A Common Stock.
The reporting person received an award of restricted stock units, 33.33% of which will vest on each of March 1, 2025, March 1, 2026, and March 1, 2027.
/s/ Joshua Lute, Attorney-in-Fact for Tana Davila
2024-03-04