0001283643-17-000001.txt : 20170406
0001283643-17-000001.hdr.sgml : 20170406
20170406152537
ACCESSION NUMBER: 0001283643-17-000001
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170406
FILED AS OF DATE: 20170406
DATE AS OF CHANGE: 20170406
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rosenberg John C.
CENTRAL INDEX KEY: 0001406576
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745764
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745765
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DREW JOHN
CENTRAL INDEX KEY: 0001188456
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745766
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745767
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745768
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TCV Member Fund, L.P.
CENTRAL INDEX KEY: 0001361345
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745769
BUSINESS ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-614-8233
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TECHNOLOGY CROSSOVER MANAGEMENT V LLC
CENTRAL INDEX KEY: 0001283643
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745771
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TCV V LP
CENTRAL INDEX KEY: 0001274664
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37680
FILM NUMBER: 17745770
BUSINESS ADDRESS:
STREET 1: 528 RAMONA ST
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-614-8215
MAIL ADDRESS:
STREET 1: 528 RAMONA STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94301
3
1
edgar.xml
PRIMARY DOCUMENT
X0206
3
2017-04-06
0
0001651094
Elevate Credit, Inc.
ELVT
0001283643
TECHNOLOGY CROSSOVER MANAGEMENT V LLC
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
0
0
1
1
May be part of a 13(g) group
0001274664
TCV V LP
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
0
0
1
1
May be part of a 13(g) group
0001361345
TCV Member Fund, L.P.
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
0
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
0
0
1
1
May be part of a 13(g) group
0001197937
KIMBALL RICK
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
0
0
1
1
May be part of a 13(g) group
0001188456
DREW JOHN
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
0
0
1
1
May be part of a 13(g) group
0001188444
REYNOLDS JON Q JR
C/O TCMI, INC.
528 RAMONA STREET
PALO ALTO
CA
94301
0
0
1
1
May be part of a 13(g) group
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
Common Stock
14822
I
TCV V, L.P.
Common Stock
286
I
TCV Member Fund, L.P.
Series A Preferred Stock
Common Stock
368215
I
TCV V, L.P.
Series A Preferred Stock
Common Stock
7078
I
TCV Member Fund, L.P.
Series B Preferred Stock
Common Stock
1972415
I
TCV V, L.P.
Series B Preferred Stock
Common Stock
39348
I
TCV Member Fund, L.P.
Restricted Stock Units
0
Common Stock
2444
I
John Rosenberg
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.
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.
The Series A preferred stock is convertible into issuer common stock on a one-for-one basis and has no expiration date.
The Series B preferred stock is convertible into issuer common stock on a one-for-one basis and has no expiration date.
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.
These securities are directly held by John C. Rosenberg. Mr. Rosenberg has sole voting and dispositive power over the securities he holds directly. However, TCV Management 2004, L.L.C. has a right to 100% of the pecuniary interest in such securities. The TCM V Members are members of TCV Management 2004, L.L.C. The TCM V Members each disclaim beneficial ownership of such securities except to the extent of their pecuniary interest therein.
By: Frederic D. Fenton, Authorized Signatory for Technology Crossover Management V, L.L.C.
2017-04-06
By: Frederic D. Fenton, Authorized Signatory for TCV V, L.P.
2017-04-06
By: Frederic D. Fenton, Authorized Signatory for TCV Member Fund, L.P.
2017-04-06
By: Frederic D. Fenton, Authorized Signatory for Jay C. Hoag
2017-04-06
By: Frederic D. Fenton, Authorized Signatory for Richard H. Kimball
2017-04-06
By: Frederic D. Fenton, Authorized Signatory for John L. Drew
2017-04-06
By: Frederic D. Fenton, Authorized Signatory for Jon Q. Reynolds
2017-04-06
By: Frederic D. Fenton, Authorized Signatory for John C. Rosenberg
2017-04-06