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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*
TCV MANAGEMENT 2004 LLC

(Last) (First) (Middle)
C/O TCMI, INC.
528 RAMONA STREET

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/06/2017
3. Issuer Name and Ticker or Trading Symbol
Elevate Credit, Inc. [ ELVT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) X Other (specify below)
May be part of a 13(g) group
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)
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)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (1) (1) Common Stock 2,444(2) $0 I By John C. Rosenberg(3)
Explanation of Responses:
1. The restricted stock units will vest 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, the restricted stock units will expire on September 21, 2026.
2. The number of shares of common stock reported does not reflect a 2.5-for-1 forward stock split, to be effective upon the closing of the Issuer's initial public offering.
3. Held of record by John C. Rosenberg for the benefit of TCV Management 2004, L.L.C. 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.
Remarks:
John C. Rosenberg, as representative of the reporting person, is a Director of the Issuer. For purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the reporting person is deemed a Director by Deputization by virtue of its representation on the Board of Directors of the Issuer.
By: Frederic D. Fenton, Authorized Signatory for TCV Management 2004, L.L.C. 06/19/2017
** 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.