Rodderick Fredrick Booth - 11 Sep 2025 Form 4 Insider Report for Black Rock Coffee Bar, Inc.

Reporting relationship: Chief Financial Officer
Issuer ticker: BRCB on Nasdaq
Reported as of: 11 Sep 2025
Net transaction value: -$2,150,520
SEC form: 4
Accepted by SEC: 15 Sep 2025, 18:18:22 UTC
Next SEC filing: 06 Oct 2025
Source filing: View source filing
Reporting owner signature: /s/ Sam Seiberling, Attorney-in-Fact

Key filing fact

Rodderick Fredrick Booth filed Form 4 for Black Rock Coffee Bar, Inc. on 15 Sep 2025.

Key facts

This page summarizes Rodderick Fredrick Booth's Form 4 filing for Black Rock Coffee Bar, Inc..
6 reported transactions and 3 derivative rows are listed below.
Accepted by SEC: 15 Sep 2025, 18:18.

Change

No earlier filing in this sequence is available for direct comparison.
Current net transaction value: -$2,150,520.

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

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reporting Owners (1)

CIK 0002077880 Primary reporting owner

Booth Rodderick Fredrick

Relationship: Chief Financial Officer
Address: C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE
Signature: /s/ Sam Seiberling, Attorney-in-Fact
Signature date: 15 Sep 2025

Reported non-derivative transactions

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

BRCB transaction

Class A Common Stock

Award

Transaction value
Shares: +37,500
Change %
Price
Shares after: 37,500
Date: 11 Sep 2025
Ownership: Direct
Footnotes: F1, F2

BRCB transaction

Class B Common Stock

Award

Transaction value
Shares: +242,300
Change %
Price
Shares after: 242,300
Date: 11 Sep 2025
Ownership: Direct
Footnotes: F1, F3

BRCB transaction

Class B Common Stock

Disposed to Issuer

Transaction value
Shares: -107,526
Change %: -44%
Price
Shares after: 134,774
Date: 15 Sep 2025
Ownership: Direct
Footnotes: F4

Reported derivative securities

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

BRCB transaction Derivative

Stock Option

Award

Transaction value: $0
Shares: +76,219
Change %
Price: $0.000000
Shares after: 76,219
Date: 11 Sep 2025
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 76,219
Exercise price: $20.00
Footnotes: F1, F5

BRCB transaction Derivative

LLC Units

Award

Transaction value
Shares: +242,300
Change %
Price
Shares after: 242,300
Date: 11 Sep 2025
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 242,300
Exercise price
Footnotes: F1, F3, F6

BRCB transaction Derivative

LLC Units

Disposed to Issuer

Transaction value: $2,150,520
Shares: -107,526
Change %: -44%
Price: $20.00
Shares after: 134,774
Date: 15 Sep 2025
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 107,526
Exercise price
Footnotes: F6

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

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 6 footnotes

Footnote F1

This transaction occurred prior to the Issuer's registration of a class of equity securities under Section 12 of the Securities Exchange Act of 1934, as amended, in connection with the Issuer's initial public offering, and is reported herein pursuant to Rule 16a-2(a).

Footnote F2

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 F3

Represents an acquisition of LLC Units and a corresponding number of Class B Common Stock in exchange for former ownership interests of Black Rock Coffee Holdings, LLC pursuant to a recapitalization transaction.

Footnote F4

Reflects the cancellation for no consideration of Class B Common Stock in connection with the sale of LLC Units.

Footnote F5

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

Footnote F6

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.