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^*

Harvison Jason

(Last)

(First)

(Middle)

C/O ELEVATE CREDIT INC.

4150 INTERNATIONAL PLAZA, SUITE 300

(Street)

FORT WORTH

76109

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
04/06/2017

3. Issuer Name and Ticker or Trading Symbol
Elevate Credit, Inc. [ ELVT ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	Chief Operating 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)
Common Stock	44,656⁽¹⁾	D

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Stock Option (Right to Buy)	⁽²⁾	01/14/2020	Common Stock	5,000⁽¹⁾	$5.33	D
Stock Option (Right to Buy)	⁽²⁾	02/17/2021	Common Stock	50,000⁽¹⁾	$5.33	D
Stock Option (Right to Buy)	⁽³⁾	12/11/2024	Common Stock	10,000⁽¹⁾	$12.88	D
Stock Option (Right to Buy)	⁽⁴⁾	02/19/2025	Common Stock	28,075⁽¹⁾	$13.98	D
Stock Option (Right to Buy)	⁽⁵⁾	06/18/2025	Common Stock	15,000⁽¹⁾	$15.77	D
Stock Option (Right to Buy)	⁽⁶⁾	06/18/2025	Common Stock	27,269⁽¹⁾	$15.77	D
Restricted Stock Unit (RSU)	⁽⁷⁾	⁽⁷⁾	Common Stock	24,444⁽¹⁾	$0.00	D

Explanation of Responses:

1. The number of shares of common stock reported does not reflect a 2.5-for-1 forward stock split, to be effective upon the closing of the issuer's initial public offering.

2. Shares subject to the option are fully vested and immediately exercisable.

3. One-fourth of the shares subject to the option vested on December 12, 2015 and one forty-eighth of the shares vests monthly thereafter.

4. One-fourth of the shares subject to the option vested on February 20, 2016 and one forty-eighth of the shares vests monthly thereafter. All of the shares subject to the option vest immediately upon the effectiveness of the registration statement on Form S-1 for the issuer's initial public offering.

5. One-fourth of the shares subject to the option vested on June 19, 2016, and one forty-eighth of the shares subject to the option vest monthly thereafter, subject to continued service with the issuer on such vesting date.

6. One-fourth of the shares subject to the option vested on June 19, 2016 and one forty-eighth of the shares vests monthly thereafter. All of the shares subject to the option vest immediately upon the effectiveness of the registration statement on Form S-1 for the issuer's initial public offering.

7. The restricted stock units will vest 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, the restricted stock units will expire on September 21, 2026.

Remarks:

	/s/ Corin Erby, as attorney-in-fact	04/06/2017
	** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.