Travis Boersma - 14 Sep 2021 Form 3 Insider Report for Dutch Bros Inc. (BROS)

Role: Executive Chairman of Board, Director, 10%+ Owner
Signature: /s/ Allison Peth, as Attorney-in-Fact for Travis Boersma
Issuer symbol: BROS
Transactions as of: 14 Sep 2021
Net transactions value: $0
Form type: 3
Filing time: 15 Sep 2021, 21:13:55 UTC
Next filing: 13 Nov 2023
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Shares After	Date	Ownership
holding	BROS	Class A Common Stock	15,610	14 Sep 2021	By DM Trust Aggregator, LLC
holding	BROS	Class A Common Stock	9,817	14 Sep 2021	By DM Individual Aggregator, LLC
holding	BROS	Class B Common Stock	43,384,433	14 Sep 2021	By DM Trust Aggregator, LLC
holding	BROS	Class B Common Stock	27,284,105	14 Sep 2021	By DM Individual Aggregator, LLC
holding	BROS	Class B Common Stock	714,080	14 Sep 2021	By DMI Holdco LLC

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Date	Underlying Class	Amount	Ownership	Footnotes
holding	BROS	Class A Common Units	14 Sep 2021	Class A Common Stock	43,384,433	By DM Trust Aggregator, LLC	F1
holding	BROS	Class A Common Units	14 Sep 2021	Class A Common Stock	27,284,105	By DM Individual Aggregator, LLC	F1
holding	BROS	Class A Common Units	14 Sep 2021	Class A Common Stock	714,080	By DMI Holdco LLC	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
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.

Content

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.