0001866581-26-000071.txt : 20260429 0001866581-26-000071.hdr.sgml : 20260429 20260429191752 ACCESSION NUMBER: 0001866581-26-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20260427 FILED AS OF DATE: 20260429 DATE AS OF CHANGE: 20260429 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boersma Travis CENTRAL INDEX KEY: 0001883154 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40798 FILM NUMBER: 26919092 MAIL ADDRESS: STREET 1: C/O DUTCH BROS INC. STREET 2: 1930 W RIO SALADO PKWY CITY: TEMPE STATE: AZ ZIP: 85281 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Dutch Bros Inc. CENTRAL INDEX KEY: 0001866581 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] ORGANIZATION NAME: 07 Trade & Services EIN: 871041305 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1930 W RIO SALADO PKWY CITY: TEMPE STATE: AZ ZIP: 85281 BUSINESS PHONE: (877) 899-2767 MAIL ADDRESS: STREET 1: 1930 W RIO SALADO PKWY CITY: TEMPE STATE: AZ ZIP: 85281 4 1 wk-form4_1777504669.xml FORM 4 X0609 4 2026-04-27 0 0001866581 Dutch Bros Inc. BROS 0001883154 Boersma Travis false C/O DUTCH BROS INC. 1930 W RIO SALADO PKWY TEMPE AZ 85281 1 1 1 0 Executive Chairman of Board 0 Class A Common Stock 2026-04-27 4 C 0 6454800 0 A 6470410 I By DM Trust Aggregator, LLC Class A Common Stock 2026-04-27 4 C 0 3445200 0 A 3455017 I By DM Individual Aggregator, LLC Class A Common Units 2026-04-27 4 C 0 6454800 0 D Class A Common Stock 6454800 22670760 I By DM Trust Aggregator, LLC Class A Common Units 2026-04-27 4 C 0 3445200 0 D Class A Common Stock 3445200 14871616 I By DM Individual Aggregator, LLC Class A Common Units Class A Common Stock 713090 713090 I By DMI Holdco LLC In accordance with the amended and restated limited liability company agreement of Dutch Mafia, LLC ("Dutch Mafia"), Class A Common Units of Dutch Mafia are exchangeable for shares of Class A Common Stock of the Issuer on a one-for-one basis at the discretion of the holder, subject to certain exceptions, conditions and adjustments. The Class A Common Units of Dutch Mafia do not have an expiration date, and the holders thereof are not required to pay an exercise price in connection with the exchanges. The Reporting Person is the manager of DM Trust Aggregator, LLC, DM Individual Aggregator, LLC and DMI Holdco LLC (the "DM Trusts"). Multiple members hold ownership interests in the DM Trusts, including the Reporting Person. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, if any, and the inclusion of the reported securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or any other purpose. Represents Class A Common Units of Dutch Mafia, the operating company of the Issuer. /s/ Thomas P. Conaghan, Attorney-in-Fact for Travis Boersma 2026-04-29