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Ripley Rosemary L – ‘4’ for 12/1/23 re: Zevia PBC

On:  Tuesday, 4/16/24, at 4:15pm ET   ·   For:  12/1/23   ·   As:  Director   ·   Accession #:  1829141-24-2   ·   File #:  1-40630

Previous ‘4’:  ‘4’ on 6/20/23 for 6/15/23   ·   Latest ‘4’:  This Filing

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer

 4/16/24  Ripley Rosemary L                 4          Director    1:9K   Zevia PBC

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Changes in Beneficial Ownership of     HTML     10K 
                Securities by an Insider -- primary_doc.xml/5.8


        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
SEC Info℠ rendering:  Statement of Changes in Beneficial Ownership of Securities by an Insider
 

The SEC has not released XSLT Stylesheets needed to render this File’s XML Data as a Form.

This is our “Plain Text” rendering:
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0508
Document Type:  4
Period of Report:  12/1/23
Not Subject to Section 16:  0
Issuer:
Issuer CIK:  1854139
Issuer Name:  Zevia PBC
Issuer Trading Symbol:  ZVIA
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1829141
Owner Name:  Ripley Rosemary L
Reporting Owner Address:
Owner Street 1:  C/O ZEVIA PBC
Owner Street 2:  15821 VENTURA BLVD., SUITE 135
Owner City:  ENCINO
Owner State:  CA
Owner ZIP Code:  91436
Owner State Description:
Reporting Owner Relationship:
Is Director?  Yes
Is Officer?  No
Is Ten Percent Owner?  No
Is Other?  No
Aff 10b5 One:  0
Non-Derivative Table:
Non-Derivative Transaction:
Security Title:
Value:  Class B Common Stock
Transaction Date:
Value:  12/1/23
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  D
Equity Swap Involved?  No
Footnote ID:  F1
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Shares:
Value:  3,591,906
Footnote ID:  F2
Transaction Price Per Share:
Footnote ID:  F1
Transaction Acquired-Disposed Code:
Value:  D
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  0
Ownership Nature:
Direct or Indirect Ownership:
Value:  I
Nature of Ownership:
Value:  See Footnotes
Footnote ID:  F3
Non-Derivative Transaction:
Security Title:
Value:  Class A Common Stock
Transaction Date:
Value:  12/1/23
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  A
Equity Swap Involved?  No
Footnote ID:  F1
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Shares:
Value:  3,591,906
Footnote ID:  F4
Transaction Price Per Share:
Footnote ID:  F1
Transaction Acquired-Disposed Code:
Value:  A
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  5,286,264
Footnote ID:  F3
Ownership Nature:
Direct or Indirect Ownership:
Value:  I
Nature of Ownership:
Value:  See Footnotes
Footnote ID:  F3
Footnote ID:  F5
Non-Derivative Holding:
Security Title:
Value:  Class A Common Stock
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  34,506
Footnote ID:  F6
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Table:
Derivative Transaction:
Security Title:
Value:  Class B Units
Conversion or Exercise Price:
Footnote ID:  F1
Transaction Date:
Value:  12/1/23
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  D
Equity Swap Involved?  No
Footnote ID:  F1
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Shares:
Value:  3,591,906
Transaction Price Per Share:
Footnote ID:  F1
Transaction Acquired-Disposed Code:
Value:  D
Exercise Date:
Footnote ID:  F1
Expiration Date:
Footnote ID:  F1
Underlying Security:
Underlying Security Title:
Value:  Class A Common Stock
Underlying Security Shares:
Value:  3,591,906
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  0
Ownership Nature:
Direct or Indirect Ownership:
Value:  I
Nature of Ownership:
Value:  See Footnotes
Footnote ID:  F3
Footnotes:
Footnote - F1:  The Class B Units of Zevia LLC are exchangeable, at the holder's option, on a one-for-one basis into shares of Class A Common Stock of the Issuer. Upon exchange of a Class B Unit, the corresponding share of Class B Common Stock of the Issuer is automatically cancelled.
Footnote - F2:  Represents the number of shares that were cancelled upon the exchange of Class B Units of Zevia LLC for Class A Common Stock of the Issuer.
Footnote - F3:  Represents securities owned directly by NGEN III, LP ("NGEN III"), NGEN Zevia SPV, LLC ("NGEN Zevia"), and NGEN-Mantra Holdings LLC ("NGEN-Mantra"). Ms. Ripley directly (whether through ownership or position) or indirectly through one or more intermediaries, may be deemed for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, to be the indirect beneficial owner of the shares of Class A Common Stock and Class B Common Stock owned, directly or indirectly, by NGEN III, NGEN Zevia and NGEN-Mantra. Ms. Ripley disclaims beneficial ownership of the shares of Class A Common Stock and Class B Common Stock reported herein except to the extent of her pecuniary interest therein and this report shall not be deemed an admission that she is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
Footnote - F4:  Represents the number of shares that were acquired upon the exchange of Class B Units of Zevia LLC for Class A Common Stock of the Issuer.
Footnote - F5:  Of the shares of Class A Common Stock reported, 2,567,006 are held by NGEN III, 2,493,594 are held by NGEN Zevia, and 225,664 shares are held by NGEN-Mantra.
Footnote - F6:  Includes 18,359 RSUs. Each RSU represents the right to receive one share of Class A Common Stock of the Issuer. 18,359 RSUs vest on the earlier to occur of (i) June 15, 2024 or (ii) the Issuer's 2024 annual meeting of stockholders and are settled within 30 days following such vesting date.
Owner Signature:
Signature Name:  /s/ Lorna R. Simms, Attorney-in-factfor Rosemary L. Ripley
Signature Date:  4/16/24


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