Viking Cake BR, LLC - 15 Sep 2025 Form 4 Insider Report for Black Rock Coffee Bar, Inc. (BRCB)

Role
10%+ Owner
Signature
/s/ Sam Seiberling, Attorney in Fact for Viking Cake BR, LLC and Viking Cake Fuel, LLC
Issuer symbol
BRCB
Transactions as of
15 Sep 2025
Net transactions value
+$62,378,760
Form type
4
Filing time
15 Sep 2025, 20:50:54 UTC
Previous filing
12 Sep 2025

Reporting Owners (2)

Name Relationship Address Signature Signature date CIK
Viking Cake BR, LLC 10%+ Owner C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE /s/ Sam Seiberling, Attorney in Fact for Viking Cake BR, LLC and Viking Cake Fuel, LLC 15 Sep 2025 0002083841
Viking Cake Fuel, LLC 10%+ Owner C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE /s/ Sam Seiberling, Attorney in Fact for Viking Cake BR, LLC and Viking Cake Fuel, LLC 15 Sep 2025 0002084799

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 LLC Units Purchase $62,378,760 +3,118,938 +37% $20.00 11,618,781 15 Sep 2025 Class A Common Stock 11,618,781 See footnote F1, F4
transaction BRCB Class C Common Stock Other $0 +3,118,938 +37% $0.000000 11,618,781 15 Sep 2025 Class A Common Stock 11,618,781 See footnote F2, F3, F4, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 LLC units ("LLC Units") represent the membership units of Black Rock Coffee Holdings, LLC ("Black Rock OpCo") and an equal number of shares of Class C common stock ("Class C Common Stock") of Black Rock Coffee Bar, Inc. (the "Issuer"). Holders may elect to have Black Rock OpCo redeem their LLC Units at any time on or following the closing of the Issuer's initial public offering for either shares of Class A common stock ("Class A Common Stock") on a one-for-one basis or, at the Issuer's election (determined solely by the Issuer's independent directors who are disinterested), a corresponding amount of cash, in either case, contributed to Black Rock OpCo by the Issuer, unless the Issuer elects, in its sole discretion (determined solely by the Issuer's independent directors who are disinterested), to effect such transaction as a direct exchange with the relevant holder. Upon any such redemption or exchange of LLC Units, the corresponding shares of Class C Common Stock will be cancelled.
F2 The Class C Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a one-for-one basis; provided that, at the Issuer's election (determined solely by the Issuer's independent directors who are disinterested), the Issuer may effect such exchange for a cash payment equal to a volume weighted average market price of one share of Class A Common Stock for each LLC Unit so redeemed.
F3 Each outstanding share of Class C Common Stock will automatically convert into one share of the Issuer's Class B common stock upon the earlier of (i) the ten-year anniversary of the later of the closing of the Issuer's initial public offering or the closing date of any exercise of the underwriters' option to purchase additional shares of Class A Common Stock and (ii) with respect to Daniel Brand, Jeff Hernandez, Jake Spellmeyer and Bryan Pereboom (collectively, the "Co-Founders"), the date on which the aggregate number of shares of Class C Common Stock held by such Co-Founder or certain of their affiliates is less than thirty-three percent (33%) of the shares of Class C Common Stock held by such Co-Founder and certain of their affiliates as of the later of the closing of the Issuer's initial public offering or the closing date of any exercise of the underwriters' option to purchase additional shares of Class A Common Stock in the Issuer's initial public offering.
F4 Held by Viking Cake BR, LLC and its wholly-owned subsidiary, Viking Cake Fuel, LLC.
F5 Represents a corresponding number of shares of Class C Common Stock issued in connection with the purchase of newly-issued LLC Units from Black Rock OpCo.