Form 4 for ZVIA Zevia PBC

Accepted 2021-07-28 00:00:00 ET · period of report 2021-07-26 · accession 0000899243-21-030377 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
DI	2021-07-28	2021-07-26	ZVIA	Gay Robert	See Remarks	D - Sale to Iss	—	-41.5K	542.8K	-7%	—
DMI	2021-07-28	2021-07-26	ZVIA	Gay Robert	See Remarks	D - Sale to Iss	$13.05	-49.2K	542.8K	-8%	-$641.7K

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Class B Common Stock	2021-07-26	D	D	41,454	—	542,780	I By Robert Gay Trust	—	—	(F1) Represents Class B Units of Zevia LLC and a corresponding number of shares of Class B Common Stock of the Issuer transferred by the Reporting Person to the Issuer in connection with the closing of the Issuer's initial public offering ("IPO") at a price of $13.055 (the per-share price paid by the underwriters for shares of the Class A Common Stock in the IPO).
2	Derivative	Stock Option (Right to Buy)	2021-07-26	D	D	7,716	$13.05	172,284	I By Robert Gay Trust	$0.01 · — to 2029-12-31	7,716 Class A Common Stock	(F3) Represents 7,716 vested options cancelled and cashed-out by mutual agreement of the Reporting Person and the Issuer. The Reporting Person received $13.045 per stock option and $100,655.22 total as consideration for the cancellation.
3	Derivative	Class B Units	2021-07-26	D	D	41,454	—	542,780	I By Robert Gay Trust	— · — to —	41,454 Class A Common Stock	(F2) The Class B Units of Zevia LLC are exchangeable, at the holder's option, on a one-for-one basis into shares of Class A Common Stock of the Issuer. Upon exchange of a Class B Unit, the corresponding share of Class B Common Stock will be automatically cancelled.