Mark Dean Davis - 12 Sep 2025 Form 3 Insider Report for Black Rock Coffee Bar, Inc.

Source evidence Original filing metadata and source links for verification. 3 source fields
SEC form
3
Accepted by SEC
12 Sep 2025, 20:17:24 UTC
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Sam Seiberling, Attorney-in-Fact

Key filing fact

Mark Dean Davis filed Form 3 for Black Rock Coffee Bar, Inc. on 12 Sep 2025.

Key facts

  • This page summarizes Mark Dean Davis's Form 3 filing for Black Rock Coffee Bar, Inc..
  • 0 reported transactions and 3 derivative rows are listed below.
  • Accepted by SEC: 12 Sep 2025, 20:17.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Official SEC source

Ownership activity is grounded in SEC Form 3 disclosures.

View source filing

Reporting Owners (1)

CIK 0002078076 Primary reporting owner

Davis Mark Dean

Relationship
Chief Executive Officer, Director
Address
C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE
Signature
/s/ Sam Seiberling, Attorney-in-Fact
Signature date
12 Sep 2025

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

BRCB holding

Class A Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
187,500
Date
12 Sep 2025
Ownership
Direct
Footnotes
F1
BRCB holding

Class B Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
336,263
Date
12 Sep 2025
Ownership
By Mark Davis 2025 Gifting Trust
BRCB holding

Class B Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
336,263
Date
12 Sep 2025
Ownership
By Jennifer Davis 2025 Gifting Trust

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

BRCB holding Derivative

Stock Option

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
12 Sep 2025
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
381,097
Exercise price
$20.00
Footnotes
F2
BRCB holding Derivative

LLC Units

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
12 Sep 2025
Ownership
By Mark Davis 2025 Gifting Trust
Underlying class
Class A Common Stock
Underlying amount
336,263
Exercise price
Footnotes
F3
BRCB holding Derivative

LLC Units

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
12 Sep 2025
Ownership
By Jennifer Davis 2025 Gifting Trust
Underlying class
Class A Common Stock
Underlying amount
336,263
Exercise price
Footnotes
F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote 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 substantially equal annual installments on each of the first, second, third and fourth anniversaries of the closing of the Issuer's initial public offering.

Footnote F2

The stock option vests in full on the third anniversary of the closing of the Issuer's initial public offering.

Footnote F3

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.

SEC remarks

Exhibit 24 - Power of Attorney.

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