0000899243-22-001267.txt : 20220106
0000899243-22-001267.hdr.sgml : 20220106
20220106192049
ACCESSION NUMBER: 0000899243-22-001267
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220105
FILED AS OF DATE: 20220106
DATE AS OF CHANGE: 20220106
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kloppenburg Janet
CENTRAL INDEX KEY: 0001842057
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40161
FILM NUMBER: 22516152
MAIL ADDRESS:
STREET 1: C/O MAPLES CORPORATE SERVICES LIMITED
STREET 2: PO BOX 309, UGLAND HOUSE
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VPC Impact Acquisition Holdings III, Inc.
CENTRAL INDEX KEY: 0001841408
STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199]
IRS NUMBER: 000000000
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 150 NORTH RIVERSIDE PLAZA
STREET 2: SUITE 5200
CITY: CHICAGO
STATE: IL
ZIP: 60606
BUSINESS PHONE: 312-701-1777
MAIL ADDRESS:
STREET 1: 150 NORTH RIVERSIDE PLAZA
STREET 2: SUITE 5200
CITY: CHICAGO
STATE: IL
ZIP: 60606
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-01-05
1
0001841408
VPC Impact Acquisition Holdings III, Inc.
DAVE
0001842057
Kloppenburg Janet
C/O VICTORY PARK CAPITAL ADVISORS, LLC
150 NORTH RIVERSIDE PLAZA, SUITE 5200
CHICAGO
IL
60606
1
0
0
0
Class A common stock, par value $0.001 per share
2022-01-05
4
M
0
17000
A
17000
D
Class B common stock, par value $0.0001
2022-01-05
4
D
0
3000
0.00
D
Class A common stock
3000
17000
D
Class B common stock, par value $0.0001
2022-01-05
4
M
0
17000
0.00
D
Class A common stock
17000
0
D
In connection with the closing (the "Closing") of the business combination (the "Business Combination") between the Issuer (which was formerly known as VPC Impact Acquisition Holdings III, Inc. or "VPCC") and Dave Inc. ("Dave"), among other things, (i) Janet Kloppenburg forfeited at no cost 3,000 shares of Class B common stock of VPCC and (ii) each of the remaining issued and outstanding shares of Class B common stock of VPCC converted into shares of Class A common stock of VPCC on a one-for-one basis as described under the heading "Description of Securities" in the Issuer's Registration Statement on Form S-1 (File No. 333-252577).
/s/ Brian Munsie, Attorney-in-Fact for Janet Kloppenburg
2022-01-06