Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0001209191-21-056234
Filing Date
2021-09-15
Accepted
2021-09-15 18:11:26
Documents
2
Period of Report
2021-09-14

Document Format Files

Seq Description Document Type Size
1 FORM 3 SUBMISSION doc3.html 3  
1 FORM 3 SUBMISSION doc3.xml 3 1513
2 POA DOCUMENT poa.txt EX-24.3_1008597 3668
  Complete submission text file 0001209191-21-056234.txt   6519
Mailing Address PO BOX 1929 GRANTS PASS OR 97528-0163
Business Address 110 SW 4TH STREET GRANTS PASS OR 97526 (206) 390-8860
Dutch Bros Inc. (Issuer) CIK: 0001866581 (see all company filings)

EIN.: 871041305 | State of Incorp.: DE | Fiscal Year End: 1231
SIC: 5810 Retail-Eating & Drinking Places

Mailing Address C/O TSG CONSUMER PARTNERS 4 ORINDA WAY, SUITE 150B ORINDA CA 94563
Business Address
Jack Blythe (Reporting) CIK: 0001883048 (see all company filings)

Type: 3 | Act: 34 | File No.: 001-40798 | Film No.: 211256364