Form 4 for BROS Dutch Bros Inc.

Accepted 2024-01-25 00:00:00 ET · period of report 2024-01-24 · accession 0001866581-24-000026 · 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
DM	2024-01-25	2024-01-24	BROS	DM Individual Aggregator, LLC	10%	C - Cnv Deriv	$0.00	0	1.58M	New	$0
D	2024-01-25	2024-01-24	BROS	DM Individual Aggregator, LLC	10%	C - Cnv Deriv	$0.00	-233.3K	22.90M	-1%	$0

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	2024-01-24	C	D	233,333	$0.00	22,899,005	D	—	—
2	Common	Class A Common Stock	2024-01-24	C	A	233,333	$0.00	1,581,186	D	—	—
3	Derivative	Class A Common Units	2024-01-24	C	D	233,333	$0.00	22,899,005	D	— · — to —	233,333 Class A Common Stock	(F2) Represents Class A Common Units of Dutch Mafia. (F1) 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 January 24, 2024, the Reporting Person exchanged 233,333 Class A Common Units for 233,333 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.