Sarah Goldsmith-Grover - 12 Sep 2025 Form 3 Insider Report for Black Rock Coffee Bar, Inc.

Reporting relationship: Director
Issuer ticker: BRCB on Nasdaq
Reported as of: 12 Sep 2025
Net transaction value: $0
SEC form: 3
Accepted by SEC: 12 Sep 2025, 20:17:30 UTC
Prior SEC filing: 02 Jul 2025
Next SEC filing: 28 May 2026
Source filing: View source filing
Reporting owner signature: /s/ Sam Seiberling, Attorney-in-Fact

Key filing fact

Sarah Goldsmith-Grover filed Form 3 for Black Rock Coffee Bar, Inc. on 12 Sep 2025.

Key facts

This page summarizes Sarah Goldsmith-Grover's Form 3 filing for Black Rock Coffee Bar, Inc..
0 reported transactions and 1 derivative row are listed below.
Accepted by SEC: 12 Sep 2025, 20:17.

Change

Previous filing in this sequence was filed on 02 Jul 2025.
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 0001811990 Primary reporting owner

Goldsmith-Grover Sarah

Relationship: 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: 2,812
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: 12,303
Date: 12 Sep 2025
Ownership: Direct

Reported derivative securities

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

BRCB holding Derivative

LLC Units

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: 12,303
Exercise price
Footnotes: F2

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 2 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 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.

Footnote 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.

SEC remarks

Exhibit 24 - Power of Attorney.