0001209191-22-002612.txt : 20220107 0001209191-22-002612.hdr.sgml : 20220107 20220107212847 ACCESSION NUMBER: 0001209191-22-002612 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220105 FILED AS OF DATE: 20220107 DATE AS OF CHANGE: 20220107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Beilman Kyle CENTRAL INDEX KEY: 0001889438 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40161 FILM NUMBER: 22519459 MAIL ADDRESS: STREET 1: C/O DAVE INC. STREET 2: 1265 SOUTH COCHRAN AVENUE CITY: LOS ANGELES STATE: CA ZIP: 90019 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 0 0001841408 VPC Impact Acquisition Holdings III, Inc. DAVE 0001889438 Beilman Kyle C/O DAVE INC. 1265 S. COCHRAN AVENUE LOS ANGELES CA 90019 0 1 0 0 CFO and Secretay Class A Common Stock 2022-01-05 4 A 0 2489980 A 2489980 D Stock Option (right to buy) 0.40 2022-01-05 4 A 0 894654 A 2028-11-13 Class A Common Stock 894654 894654 D Includes 1,422,106 shares of class A Common Stock underlying an option that was early exercised by the Reporting Person. Of the total amount early exercised, 533,290 shares of Class A Common Stock are subject to vesting. The option vested 1/48th on July 27, 2019 and monthly thereafter, subject to the Reporting Person's continuous service through each vesting date, and 50% of the then unvested shares will immediately vest if the Reporting Person is terminated without cause within 120 days of a Change of Control (as defined in Legacy Dave's 2017 Stock Plan). On January 5, 2022, pursuant to that certain Agreement and Plan of Merger, dated as of June 7, 2021 (the "Merger Agreement"), by and among VPC Impact Acquisition Holdings III, Inc. (the "Issuer"), Dave Inc., a Delaware corporation ("Legacy Dave"), and the other parties thereto, the Issuer completed its initial business combination (the "Business Combination"). As a result of the Business Combination, the Issuer changed its name to Dave Inc. In connection with the Business Combination and a recapitalization in accordance with the Merger Agreement, 1,838,455 shares of Class A Common Stock of Legacy Dave held by the Reporting Person were converted into 2,489,980 shares of Class A Common Stock of the Issuer. The issuance of the shares was approved by the Issuer's board of directors pursuant to Rule 16b-3 under the Securities Exchange Act of 1934, as amended (the "Exchange Act"). This exercise price reflects the conversion of Legacy Dave options to options to purchase shares of Class A Common Stock of the Issuer. In connection with the Business Combination and in accordance with the Merger Agreement, an option to purchase 660,560 shares of Class A Common Stock of Legacy Dave held by the Reporting Person was converted into an option to purchase 894,654 shares of Class A Common Stock of the Issuer. The issuance of the option was approved by the Issuer's board of directors pursuant to Rule 16b-3 under the Exchange Act. The option vests 25% on July 15, 2019 and 1/48th monthly thereafter, subject to the Reporting Person's continuous service through each vesting date. /s/ John Ricci, as Attorney-in-Fact 2022-01-07