0001209191-22-002607.txt : 20220107 0001209191-22-002607.hdr.sgml : 20220107 20220107204008 ACCESSION NUMBER: 0001209191-22-002607 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: Preston Dan CENTRAL INDEX KEY: 0001843122 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40161 FILM NUMBER: 22519418 MAIL ADDRESS: STREET 1: C/O METROMILE, INC. STREET 2: 425 MARKET STREET, SUITE 700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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 0001843122 Preston Dan C/O DAVE INC. 1265 S. COCHRAN AVENUE LOS ANGELES CA 90019 1 0 0 0 Stock Option (right to buy) 0.03 2022-01-05 4 A 0 772000 A 2028-01-25 Class A Common Stock 772000 772000 D 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 in accordance with the Merger Agreement, an option to purchase 570,000 shares of Class A Common Stock of Legacy Dave held by the Reporting Person was converted into an option to purchase 772,000 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 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. The option is fully vested and exercisable. /s/ John Ricci, as Attorney-in-Fact 2022-01-07