Richard L. Federico - Sep 12, 2025 Form 3 Insider Report for Black Rock Coffee Bar, Inc. (BRCB)

Role
Director
Signature
/s/ Sam Seiberling, Attorney-in-Fact
Stock symbol
BRCB
Transactions as of
Sep 12, 2025
Transactions value $
$0
Form type
3
Date filed
9/12/2025, 08:17 PM
Previous filing
Apr 25, 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
FEDERICO RICHARD L Director C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE /s/ Sam Seiberling, Attorney-in-Fact 2025-09-12 0001217195

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding BRCB Class A Common Stock 2.81K Sep 12, 2025 Direct F1
holding BRCB Class B Common Stock 15.6K Sep 12, 2025 Direct

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

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding BRCB LLC Units Sep 12, 2025 Class A Common Stock 15.6K Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents an award of restricted stock units ("RSUs"), each of which represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in full on the earlier of the Issuer's 2026 annual meeting or the first anniversary of the closing of the Issuer's initial public offering
F2 The LLC Units may be redeemed by the Reporting Person at any time at the option of the holder for shares of Class A Common Stock on a 1-to-1 basis, and a corresponding number of shares of Class B Common Stock will be forfeited in connection with the redemption. The LLC Units have no expiration date.

Remarks:

Exhibit 24 - Power of Attorney.