0001406576-17-000003.txt : 20171005 0001406576-17-000003.hdr.sgml : 20171005 20171005190627 ACCESSION NUMBER: 0001406576-17-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171003 FILED AS OF DATE: 20171005 DATE AS OF CHANGE: 20171005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DREW JOHN CENTRAL INDEX KEY: 0001188456 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37680 FILM NUMBER: 171125526 MAIL ADDRESS: STREET 1: 528 RAMONA STREET CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rosenberg John C. CENTRAL INDEX KEY: 0001406576 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37680 FILM NUMBER: 171125529 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37680 FILM NUMBER: 171125528 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37680 FILM NUMBER: 171125527 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37680 FILM NUMBER: 171125525 MAIL ADDRESS: STREET 1: 528 RAMONA STREET CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TCV MANAGEMENT 2004 LLC CENTRAL INDEX KEY: 0001283641 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37680 FILM NUMBER: 171125524 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 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 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-10-03 0001651094 Elevate Credit, Inc. ELVT 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 0001082906 HOAG JAY C C/O TCMI, INC. 528 RAMONA STREET PALO ALTO CA 94301 1 0 1 1 Director by Deputization 0001197937 KIMBALL RICK C/O TCMI, INC. 528 RAMONA STREET PALO ALTO CA 94301 1 0 1 1 Director by Deputization 0001188456 DREW JOHN C/O TCMI, INC. 528 RAMONA STREET PALO ALTO CA 94301 1 0 1 1 Director by Deputization 0001188444 REYNOLDS JON Q JR C/O TCMI, INC. 528 RAMONA STREET PALO ALTO CA 94301 1 0 1 1 Director by Deputization 0001283641 TCV MANAGEMENT 2004 LLC C/O TCMI, INC. 528 RAMONA STREET PALO ALTO CA 94301 1 0 1 1 Director by Deputization Common Stock 2017-10-03 4 M 0 6110 A 6110 D Common Stock 5967123 I TCV V, L.P. Common Stock 118286 I TCV Member Fund, L.P. Restricted Stock Unit (RSU) 2017-10-03 4 M 0 6110 0 D Common Stock 6110 0 D Each restricted stock unit ("RSU") represents a contingent right to receive one share of the issuer's common stock. Held of record by John C. Rosenberg for the benefit of TCV Management 2004, L.L.C. ("TCM"). Jay C. Hoag, Jon Q. Reynolds, Jr., Richard H. Kimball and John L. Drew (the "TCM Members") are members of TCM. Mr. Rosenberg and the TCM Members each disclaims beneficial ownership of such RSUs and the underlying shares of the issuer's common stock except to the extent of their pecuniary interest therein. 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. This RSU vested 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, this RSU would have expired on September 21, 2026. All Reporting Persons may be part of a 13(g) group. By: Frederic D. Fenton, Authorized Signatory for John C. Rosenberg 2017-10-05 By: Frederic D. Fenton, Authorized Signatory for Jay C. Hoag 2017-10-05 By: Frederic D. Fenton, Authorized Signatory for Richard H. Kimball 2017-10-05 By: Frederic D. Fenton, Authorized Signatory for John L. Drew 2017-10-05 By: Frederic D. Fenton, Authorized Signatory for Jon Q. Reynolds 2017-10-05 By: Frederic D. Fenton, Authorized Signatory for TCV Management 2004, L.L.C. 2017-10-05