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

Role: Chief Financial Officer
Signature: /s/ Sam Seiberling, Attorney-in-Fact
Issuer symbol: BRCB
Transactions as of: 11 Sep 2025
Net transactions value: -$2,150,520
Form type: 4
Filing time: 15 Sep 2025, 18:18:22 UTC
Next filing: 06 Oct 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Booth Rodderick Fredrick	Chief Financial Officer	C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE	/s/ Sam Seiberling, Attorney-in-Fact	15 Sep 2025	0002077880

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	BRCB	Class A Common Stock	Award		+37,500			37,500	11 Sep 2025	Direct	F1, F2
transaction	BRCB	Class B Common Stock	Award		+242,300			242,300	11 Sep 2025	Direct	F1, F3
transaction	BRCB	Class B Common Stock	Disposed to Issuer		-107,526	-44%		134,774	15 Sep 2025	Direct	F4

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	BRCB	Stock Option	Award	$0	+76,219		$0.000000	76,219	11 Sep 2025	Class A Common Stock	76,219	$20.00	Direct	F1, F5
transaction	BRCB	LLC Units	Award		+242,300			242,300	11 Sep 2025	Class A Common Stock	242,300		Direct	F1, F3, F6
transaction	BRCB	LLC Units	Disposed to Issuer	$2,150,520	-107,526	-44%	$20.00	134,774	15 Sep 2025	Class A Common Stock	107,526		Direct	F6

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
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).
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.
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.
F4	Reflects the cancellation for no consideration of Class B Common Stock in connection with the sale of LLC Units.
F5	The stock option vests in full on the third anniversary of the closing of the Issuer's initial public offering.
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.