| FORM
4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities
Exchange Act of 1934
or Section 30(h) of the Investment Company Act of
1940
|
| OMB APPROVAL |
| OMB Number: |
3235-0287 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
|
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue.
See
Instruction 1(b).
|
1. Name and Address of Reporting Person
*
| C/O ELEVATE CREDIT INC. |
| 4150 INTERNATIONAL PLAZA, SUITE 300 |
(Street)
|
2. Issuer Name
and
Ticker or Trading Symbol
Elevate Credit, Inc.
[
ELVT
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| Chief Credit Officer |
|
3. Date of Earliest Transaction
(Month/Day/Year)
10/05/2021
|
4. 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 Acquired, Disposed of, or
Beneficially Owned |
|---|
| 1.
Title of Security (Instr.
3)
|
2.
Transaction Date
(Month/Day/Year) |
2A.
Deemed Execution Date, if any
(Month/Day/Year) |
3.
Transaction Code (Instr.
8)
|
4.
Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
|
5.
Amount of Securities Beneficially Owned Following Reported
Transaction(s) (Instr.
3 and 4)
|
6.
Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
7.
Nature of Indirect Beneficial Ownership (Instr.
4)
|
| Code |
V |
Amount |
(A) or (D) |
Price |
|
Common Stock
|
10/05/2021 |
|
S |
|
2,000
|
D
|
$
3.82
|
73,141
|
D
|
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
|
5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
|
6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
|
8. Price of Derivative Security (Instr.
5)
|
9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
|
10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
11. Nature of Indirect Beneficial Ownership (Instr.
4)
|
| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
|
|
/s/Nelda Bruce, as attorney-in-fact |
10/07/2021 |
|
** 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
4
(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. |
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes
and
appoints each of Charmaine Perdon, R. Joel Todd and Scott Lesmes of
Morrison & Foerster LLP,
Lori Sudowe and Paul Tauber of Coblentz, Patch, Duffy & Bass LLP, and
Chad Bradford, Nelda
Bruce and Sarah Fagin Cutrona of Elevate Credit, Inc., or any of them
signing singly, and with
full power of substitution, the undersigned's true and lawful
attorney-in-fact to:
(1) prepare, execute in the undersigned's name and on the
undersigned's behalf, and submit to
the U.S. Securities and Exchange Commission (the "SEC") any forms
necessary to obtain
or update a CIK, CCC, Password or PMAC code or generate other EDGAR
codes on my
behalf enabling the undersigned to make electronic filings with the
SEC of reports required
by Section 16(a) of the Securities Exchange Act of 1934 or any rule
or regulation of the
SEC;
(2) execute for and on behalf of the undersigned, in the
undersigned's capacity as an officer,
director and/or more than 10% stockholder of Elevate Credit, Inc.
(the "Company"), Forms
3, 4 and 5 in accordance with Section 16(a) of the Securities
Exchange Act of 1934 and the
rules thereunder;
(3) do and perform any and all acts for and on behalf of the
undersigned which may be
necessary or desirable to complete and execute any such Form 3, 4 or
5, complete and
execute any amendment or amendments thereto and timely file such form
with the SEC
and any stock exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with
the foregoing which, in
the opinion of such attorney-in-fact, may be of benefit to, in the
best interest of, or legally
required by, the undersigned, it being understood that the documents
executed by such
attorney- in-fact on behalf of the undersigned pursuant to this Power
of Attorney shall be
in such form and shall contain such terms and conditions as such
attorney-in-fact may
approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full
power and authority to do
and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in
the exercise of any of the rights and powers herein granted, as fully
to all intents and purposes as
the undersigned might or could do if personally present, with full
power of substitution or
revocation, hereby ratifying and confirming all that such attorney-
in-fact, or such attorney-in-fact's
substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney
and the rights and powers herein granted. The undersigned
acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's
responsibilities to comply with Section 16
of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until
the undersigned is no
longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and
transactions in securities issued by the Company, unless earlier
revoked by the undersigned in a
signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney
to be executed as of September 29, 2021.
/s/ David Peterson
David Peterson
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