0001209191-23-005318.txt : 20230127 0001209191-23-005318.hdr.sgml : 20230127 20230127170517 ACCESSION NUMBER: 0001209191-23-005318 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230125 FILED AS OF DATE: 20230127 DATE AS OF CHANGE: 20230127 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: 23564098 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: Dave Inc./DE CENTRAL INDEX KEY: 0001841408 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1265 SOUTH COCHRAN AVENUE CITY: LOS ANGELES STATE: CA ZIP: 90019 BUSINESS PHONE: 8448573283 MAIL ADDRESS: STREET 1: 1265 SOUTH COCHRAN AVENUE CITY: LOS ANGELES STATE: CA ZIP: 90019 FORMER COMPANY: FORMER CONFORMED NAME: VPC Impact Acquisition Holdings III, Inc. DATE OF NAME CHANGE: 20210120 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2023-01-25 0 0001841408 Dave Inc./DE DAVE 0001889438 Beilman Kyle C/O DAVE INC. 1265 SOUTH COCHRAN AVENUE LOS ANGELES CA 90019 0 1 0 0 CFO and Secretary Class A Common Stock 2023-01-25 4 A 0 30031 0.00 A 160987 D Class A Common Stock 2023-01-25 4 A 0 37539 0.00 A 198526 D Represents shares of Class A Common Stock underlying a restricted stock unit award ("RSU") granted under the Issuer's 2021 Equity Incentive Plan (the "Plan"). The RSU will vest as to 1/16 of the total number of shares on March 1, 2023 and an additional 1/16 of the total number of shares on each quarterly anniversary thereafter, subject to the Reporting Person's continued service through each vesting date. Represents shares of Class A Common Stock underlying a performance-based restricted stock unit award ("PRSU") granted under the Plan. Vesting of the PRSU will occur only on four vesting dates per year, as follows: March 1, June 1, September 1 and December 1 (each, a "Vesting Date"). The PRSU will vest upon the later of (i) March 1, 2025, or (ii) the Vesting Date immediately following the achievement of certain performance metrics based on the Issuer's average closing price for 30 consecutive trading days, subject to the Reporting Person's continued service through each vesting date. /s/ Kyle Beilman 2023-01-27