0001406576-17-000003.txt : 20171005
0001406576-17-000003.hdr.sgml : 20171005
20171005190627
ACCESSION NUMBER: 0001406576-17-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171003
FILED AS OF DATE: 20171005
DATE AS OF CHANGE: 20171005
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DREW JOHN
CENTRAL INDEX KEY: 0001188456
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 171125526
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rosenberg John C.
CENTRAL INDEX KEY: 0001406576
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 171125529
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOAG JAY C
CENTRAL INDEX KEY: 0001082906
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 171125528
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KIMBALL RICK
CENTRAL INDEX KEY: 0001197937
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 171125527
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: REYNOLDS JON Q JR
CENTRAL INDEX KEY: 0001188444
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 171125525
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TCV MANAGEMENT 2004 LLC
CENTRAL INDEX KEY: 0001283641
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 171125524
BUSINESS ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 6506148233
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Elevate Credit, Inc.
CENTRAL INDEX KEY: 0001651094
STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199]
IRS NUMBER: 464714474
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4150 INTERNATIONAL PLAZA
STREET 2: SUITE 300
CITY: FORT WORTH
STATE: TX
ZIP: 76109
BUSINESS PHONE: 817-928-1500
MAIL ADDRESS:
STREET 1: 4150 INTERNATIONAL PLAZA
STREET 2: SUITE 300
CITY: FORT WORTH
STATE: TX
ZIP: 76109
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2017-10-03
0001651094
Elevate Credit, Inc.
ELVT
0001406576
Rosenberg John C.
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
1
0
1
1
May be part of a 13(g) group
0001082906
HOAG JAY C
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
1
0
1
1
Director by Deputization
0001197937
KIMBALL RICK
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
1
0
1
1
Director by Deputization
0001188456
DREW JOHN
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
1
0
1
1
Director by Deputization
0001188444
REYNOLDS JON Q JR
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
1
0
1
1
Director by Deputization
0001283641
TCV MANAGEMENT 2004 LLC
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
1
0
1
1
Director by Deputization
Common Stock
2017-10-03
4
M
0
6110
A
6110
D
Common Stock
5967123
I
TCV V, L.P.
Common Stock
118286
I
TCV Member Fund, L.P.
Restricted Stock Unit (RSU)
2017-10-03
4
M
0
6110
0
D
Common Stock
6110
0
D
Each restricted stock unit ("RSU") represents a contingent right to receive one share of the issuer's common stock.
Held of record by John C. Rosenberg for the benefit of TCV Management 2004, L.L.C. ("TCM"). Jay C. Hoag, Jon Q. Reynolds, Jr., Richard H. Kimball and John L. Drew (the "TCM Members") are members of TCM. Mr. Rosenberg and the TCM Members each disclaims beneficial ownership of such RSUs and the underlying shares of the issuer's common stock except to the extent of their pecuniary interest therein.
These securities are directly held by TCV V, L.P. ("TCV V"). Jay C. Hoag, Richard H. Kimball, John L. Drew, and Jon Q. Reynolds are Class A Members (collectively, the "TCM V Members") and John C. Rosenberg is
an Assignee of Technology Crossover Management V, L.L.C. ("TCM V") which is the general partner of TCV V. The TCM V Members, Mr. Rosenberg and TCM V may be deemed to beneficially own the securities held by
TCV V, but each of the TCM V Members, Mr. Rosenberg and TCM V disclaim beneficial ownership of such securities except to the extent of their pecuniary interest therein.
These securities are directly held by TCV Member Fund, L.P. ("TCV Member Fund"). The TCM V Members are Members and Mr. Rosenberg is an Assignee of TCM V, which is a general partner of TCV Member Fund.
The TCM V Members and Mr. Rosenberg are also limited partners of TCV Member Fund. The TCM V Members, Mr. Rosenberg and TCM V may be deemed to beneficially own the securities held by TCV Member Fund, but
each of the TCM V Members, Mr. Rosenberg and TCM V disclaim beneficial ownership of such securities except to the extent of their pecuniary interest therein.
This RSU vested upon the later of July 1, 2017 or the expiration of the lock-up period following the issuer's initial public offering. If not vested earlier, this RSU would have expired on September 21, 2026.
All Reporting Persons may be part of a 13(g) group.
By: Frederic D. Fenton, Authorized Signatory for John C. Rosenberg
2017-10-05
By: Frederic D. Fenton, Authorized Signatory for Jay C. Hoag
2017-10-05
By: Frederic D. Fenton, Authorized Signatory for Richard H. Kimball
2017-10-05
By: Frederic D. Fenton, Authorized Signatory for John L. Drew
2017-10-05
By: Frederic D. Fenton, Authorized Signatory for Jon Q. Reynolds
2017-10-05
By: Frederic D. Fenton, Authorized Signatory for TCV Management 2004, L.L.C.
2017-10-05