0001866581-24-000121.txt : 20240423 0001866581-24-000121.hdr.sgml : 20240423 20240423123345 ACCESSION NUMBER: 0001866581-24-000121 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240419 FILED AS OF DATE: 20240423 DATE AS OF CHANGE: 20240423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DM Trust Aggregator, LLC CENTRAL INDEX KEY: 0001883105 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40798 FILM NUMBER: 24863515 BUSINESS ADDRESS: STREET 1: 110 SW 4TH STREET CITY: GRANTS PASS STATE: OR ZIP: 97526 BUSINESS PHONE: (541) 659-0387 MAIL ADDRESS: STREET 1: PO BOX 398 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_1713890016.xml FORM 4 X0508 4 2024-04-19 0 0001866581 Dutch Bros Inc. BROS 0001883105 DM Trust Aggregator, LLC PO BOX 398 GRANTS PASS OR 97526 0 0 1 0 0 Class A Common Stock 2024-04-19 4 C 0 1150326 0 A 2201504 D Class B Common Stock 2024-04-19 4 C 0 1150326 0 D 35307815 D Class A Common Units 2024-04-19 4 C 0 1150326 0 D Class A Common Stock 1150326 35307815 D Pursuant to the Third Amended and Restated Limited Liability Company Agreement of Dutch Mafia, LLC ("Dutch Mafia"), dated September 14, 2021, Class A Common Units of Dutch Mafia, together with an equal number of shares of Class B Common Stock of the Issuer are exchangeable for shares of Class A Common Stock on a one-for-one basis at the discretion of the holder, subject to certain exceptions, conditions and adjustments. Upon such exchange, the associated shares of Class B Common Stock are surrendered and canceled by the Issuer. The Class A Common Units of Dutch Mafia and the Class B Common Stock of the Issuer do not have an expiration date and the holders thereof are not required to pay an exercise price in connection with exchanges. On April 19, 2024, the Reporting Person exchanged 1,150,326 Class A Common Units for 1,150,326 shares of Class A Common Stock of the Issuer, and the corresponding number of shares of Class B Common Stock were canceled by the Issuer. Represents Class A Common Units of Dutch Mafia, the operating company of the Issuer. /s/ Thomas P. Conaghan, Attorney-in-Fact for Travis Boersma, Manager 2024-04-23