Dutch Bros Inc. — Director's Dealing 2021

Sep 16, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Dutch Bros Inc. (BROS)
CIK: 0001866581
Period of Report: 2021-09-14

Reporting Person: Boersma Travis (Director, Executive Chairman of Board, 10% Owner)

Holdings (Non-Derivative)

Security	Shares	Ownership
Class A Common Stock	15610	Indirect
Class A Common Stock	9817	Indirect
Class B Common Stock	43384433	Indirect
Class B Common Stock	27284105	Indirect
Class B Common Stock	714080	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class A Common Units	$		Class A Common Stock (43384433)		Indirect
Class A Common Units	$		Class A Common Stock (27284105)		Indirect
Class A Common Units	$		Class A Common Stock (714080)		Indirect

Footnotes

F1: Represents Class A Common Units of Dutch Mafia, LLC, the operating company of Issuer. Class A Common Units, together with an equal number of shares of Class B Common Stock, neither of which have an expiration, 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 shall be canceled by the Issuer.