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^*

Sabzivand Amin

(Last)

(First)

(Middle)

251 1ST AVE N

SUITE 200

(Street)

MINNEAPOLIS

55401

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
03/27/2023

3. Issuer Name and Ticker or Trading Symbol
Sezzle Inc. [ SZL.AX ]

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

	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⁽¹⁾	60,755	D
COMMON STOCK⁽²⁾	107,143	D
COMMON STOCK⁽³⁾	964,807	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)	⁽⁴⁾	04/07/2030	COMMON STOCK	50,000	$0.84⁽⁵⁾	D
Stock Option (right to buy)	⁽⁶⁾	04/07/2030	COMMON STOCK	294,167	$0.84⁽⁵⁾	D
Stock Option (right to buy)	⁽⁷⁾	08/22/2028	COMMON STOCK	4,167⁽⁸⁾	$0.05	D
Stock Option (right to buy)	⁽⁷⁾	01/04/2029	COMMON STOCK	37,500⁽⁸⁾	$0.05	D

Explanation of Responses:

1. Representing issued and outstanding shares underlying the CHESS Depositary Interests (CDIs) listed by the issuer for trading on the Australian Securities Exchange (ASX).

2. Reflecting an award of restricted stock units granted on September 15, 2021, and vesting 25% on the six month anniversary of the vesting commencement date with remainder in equal installments quarterly thereafter.

3. Reflecting an award of restricted stock units granted on May 1, 2022 and vesting 100% on May 1, 2023.

4. The options vest and become exercisable over 4 years, beginning with 25% on the first anniversary of the vesting commencement date and then in equal monthly installments thereafter. The vesting commencement date is April 7, 2020 and 36,458 options were vested as of the reporting date.

5. The exercise price of AUD$1.35 per share is reported in Column 4 in US Dollars using a foreign exchange rate of 0.619515 on the grant date.

6. The reported options represent the unexercised portion of an initial grant of 300,000 options, which vest and become exercisable over 4 years, beginning with 25% on the first anniversary of the vesting commencement date and then in equal monthly installments thereafter. The vesting commencement date is July 27, 2019 and 269,167 options were vested and unexercised as of the reporting date.

7. The options are fully vested and exercisable as of the reporting date.

8. Representing the portion of the award that is vested but unexercised as of the reporting date.

Remarks:

	/s/ Timothy M Joyce, as Attorney-in-Fact	03/29/2023
	** 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.