Sec Form 3 Filing - Sabzivand Amin @ Sezzle Inc. - 2023-03-27

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Sabzivand Amin
2. Issuer Name and Ticker or Trading Symbol
Sezzle Inc. [ SZL.AX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Operating Officer
(Last) (First) (Middle)
251 1ST AVE N, SUITE 200
3. Date of Earliest Transaction (MM/DD/YY)
03/27/2023
(Street)
MINNEAPOLIS, MN55401
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 ( 1 ) 60,755 D
COMMON STOCK ( 2 ) 107,143 D
COMMON STOCK ( 3 ) 964,807 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Stock Option (right to buy) $ 0.84 ( 5 ) ( 4 ) 04/07/2030 COMMON STOCK 50,000 D
Stock Option (right to buy) $ 0.84 ( 5 ) ( 6 ) 04/07/2030 COMMON STOCK 294,167 D
Stock Option (right to buy) $ 0.05 ( 7 ) 08/22/2028 COMMON STOCK 4,167 ( 8 ) D
Stock Option (right to buy) $ 0.05 ( 7 ) 01/04/2029 COMMON STOCK 37,500 ( 8 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Sabzivand Amin
251 1ST AVE N
SUITE 200
MINNEAPOLIS, MN55401
Chief Operating Officer
Signatures
/s/ Timothy M Joyce, as Attorney-in-Fact 03/29/2023
Signature of Reporting Person Date
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.

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).

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