SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Benmoussa Kevin

(Last) (First) (Middle)
250 PARK AVENUE SOUTH, 7TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/21/2021
3. Issuer Name and Ticker or Trading Symbol
Vita Coco Company, Inc. [ COCO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (1) 12/16/2029 Common Stock 113,750 10.178 D
Stock Option (Right to Buy) (2) 02/10/2030 Common Stock 113,750 10.178 D
Stock Option (Right to Buy) (3) 01/11/2031 Common Stock 18,200 10.178 D
Stock Options (Right to Buy) (4) 10/20/2031 Common Stock 49,751 15 D
Explanation of Responses:
1. The stock option is fully vested and currently exercisable with respect to 86,450 underlying shares. The remainder will vest on August 1, 2022.
2. The stock option vests in two equal biennial installments beginning on February 10, 2022.
3. The stock option vests in two equal biennial installments beginning on January 11, 2023.
4. The stock option vests in four equal annual installments beginning on November 27, 2022.
Remarks:
Exhibit 24 - Power of Attorney.
/s/ Yolanda Goettsch, Attorney-in-fact 10/21/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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                                                                      Exhibit 24

                                 POWER OF ATTORNEY

    With respect to holdings of and transactions in securities issued by The
Vita Coco Company, Inc. (the "Company"), the undersigned hereby constitutes and
appoints Yolanda Goettsch, Michael Kirban, Martin Roper, and Kevin Benmoussa, or
any of them signing singly, with full power of substitution and resubstitution,
to act as the undersigned's true and lawful attorney-in-fact to:

    1.  execute for and on behalf of the undersigned, Schedules 13D and 13G in
        accordance with Section 13 of the Securities Exchange Act of 1934, as
        amended (the "Exchange Act"), and the rules thereunder, and Forms 3, 4,
        and 5 in accordance with Section 16 of the Exchange Act and the rules
        thereunder;

    2.  do and perform any and all acts for and on behalf of the undersigned
        which may be necessary or desirable to complete and execute any such
        Schedule 13D or 13G or Form 3, 4, or 5, complete and execute any
        amendment or amendments thereto, and timely file such schedule or form
        with the SEC and any stock exchange or similar authority; and

    3.  take any other action of any type whatsoever in connection with the
        foregoing which, in the opinion of such attorney-in-fact, may be of
        benefit to, in the best interest of, or legally required by, the
        undersigned, it being understood that the documents executed by such
        attorney-in-fact on behalf of the undersigned pursuant to this Power of
        Attorney shall be in such form and shall contain such terms and
        conditions as such attorney-in-fact may approve in such attorney-in-
        fact's discretion.

    The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution and
resubstitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorneys-in-fact substitute or substitutes, shall
lawfully do or cause to be done by virtue of this Power of Attorney and the
rights and powers herein granted.

    The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 13 and Section 16 of the Exchange Act.

    This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Schedule 13D and 13G and Forms 3, 4,
and 5 with respect to the undersigned's holdings of and transactions in
securities issued by the Company, unless earlier revoked by the undersigned in a
signed writing delivered to the foregoing attorneys-in-fact.

    IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 27th day of July, 2021.


                                        /s/ Kevin Benmoussa
                                        ----------------------------
                                        Kevin Benmoussa