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