# EDGAR Filing Document

**Accession Number:** 0001964146
**File Stem:** 0001662991-23-000027
**Filing Date:** 2023-3
**Character Count:** 6186
**Document Hash:** 3b0a17075c0b89075cbd8f2ed1239f80
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001662991-23-000027.hdr.sgml**: 20230329

**ACCESSION NUMBER**: 0001662991-23-000027

**CONFORMED SUBMISSION TYPE**: 3

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230327

**FILED AS OF DATE**: 20230329

**DATE AS OF CHANGE**: 20230329

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Sabzivand Amin
- **CENTRAL INDEX KEY:** 0001964146

**FILING VALUES:**
- **FORM TYPE:** 3
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 000-56267
- **FILM NUMBER:** 23775989

**MAIL ADDRESS:**
- **STREET 1:** 251 1ST AVE N
- **STREET 2:** SUITE 200
- **CITY:** MINNEAPOLIS
- **STATE:** MN
- **ZIP:** 55401
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Sezzle Inc.
- **CENTRAL INDEX KEY:** 0001662991
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-BUSINESS SERVICES, NEC [7389]
- **IRS NUMBER:** 810971660
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 251 1ST AVENUE N
- **STREET 2:** SUITE 200
- **CITY:** MINNEAPOLIS
- **STATE:** MN
- **ZIP:** 55401
- **BUSINESS PHONE:** 651-235-6009

**MAIL ADDRESS:**
- **STREET 1:** 251 1ST AVENUE N
- **STREET 2:** SUITE 200
- **CITY:** MINNEAPOLIS
- **STATE:** MN
- **ZIP:** 55401

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 3

### INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

[ ] 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**<sup>*</sup><br>Sabzivand Amin<br><sub>(Last) (First) (Middle)</sub><br>251 1ST AVE N<br>SUITE 200<br><sub>(Street)</sub><br>MINNEAPOLIS, MN 55401<br><sub>(City) (State) (Zip)</sub> | **3. Issuer Name and Ticker or Trading Symbol**<br>Sezzle Inc. [ SZL.AX ] | **5. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  |
| **2. Date of Event Requiring Statement (Month/Day/Year)**<br>2023-03-27 | **4. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director   [ ] 10% Owner<br>[X] Officer (give title below)   [ ] Other (specify below)<br>_Chief Operating Officer_ | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities Beneficially Owned

---

|  |  |  |  |
| --- | --- | --- | --- |
| 1. Title of Security | 2. Amount of Securities Beneficially Owned | 3. Ownership Form | 4. Nature of Indirect Beneficial Ownership |
| COMMON STOCK<sup>(1)</sup> | 60755 | D |  |
| COMMON STOCK<sup>(2)</sup> | 107143 | D |  |
| COMMON STOCK<sup>(3)</sup> | 964807 | D |  |

---

## Table II - Derivative Securities Beneficially Owned

---

|  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Underlying Securities | 3. Title and Amount of Underlying Securities | 4. Conversion or Exercise Price | 5. Ownership Form | 6. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 4. Conversion or Exercise Price | 5. Ownership Form | 6. Nature of Indirect Beneficial Ownership |
| Stock Option (right to buy) | <sup>(4)</sup> | 2030-04-07 | COMMON STOCK | 50000.0 | 0.84<sup>(5)</sup> | D |  |
| Stock Option (right to buy) | <sup>(6)</sup> | 2030-04-07 | COMMON STOCK | 294167.0 | 0.84<sup>(5)</sup> | D |  |
| Stock Option (right to buy) | <sup>(7)</sup> | 2028-08-22 | COMMON STOCK | 4167.0<sup>(8)</sup> | $0.05 | D |  |
| Stock Option (right to buy) | <sup>(7)</sup> | 2029-01-04 | COMMON STOCK | 37500.0<sup>(8)</sup> | $0.05 | D |  |

---

### Footnotes:

(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.

**Signature:** /s/ Timothy M Joyce, as Attorney-in-Fact  
**Date:** 2023-03-29

### Remarks:

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.**