<SEC-DOCUMENT>0001104659-23-126518-index.html : 20231215 <SEC-HEADER>0001104659-23-126518.hdr.sgml : 20231215 <ACCEPTANCE-DATETIME>20231215203958 ACCESSION NUMBER: 0001104659-23-126518 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231214 FILED AS OF DATE: 20231215 DATE AS OF CHANGE: 20231215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boersma Travis CENTRAL INDEX KEY: 0001883154 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40798 FILM NUMBER: 231491999 MAIL ADDRESS: STREET 1: C/O DUTCH BROS INC. STREET 2: PO BOX 1929 CITY: GRANTS PASS STATE: OR ZIP: 97528 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Dutch Bros Inc. CENTRAL INDEX KEY: 0001866581 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] IRS NUMBER: 871041305 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 110 SW 4TH STREET CITY: GRANTS PASS STATE: OR ZIP: 97526 BUSINESS PHONE: (206) 390-8860 MAIL ADDRESS: STREET 1: PO BOX 1929 CITY: GRANTS PASS STATE: OR ZIP: 97528-0163 </SEC-HEADER> <DOCUMENT> <TYPE>4 <SEQUENCE>1 <FILENAME>tm2333077-2_4seq1.xml <DESCRIPTION>OWNERSHIP DOCUMENT <TEXT> Document 1 - file: tm2333077-2_4seq1.html
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