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*
Jacobson Javvis O

(Last) (First) (Middle)
C/O FINWISE BANCORP
756 EAST WINCHESTER ST, SUITE 100

(Street)
MURRAY UT 84107

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/18/2021
3. Issuer Name and Ticker or Trading Symbol
Finwise Bancorp [ FINW ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CFO AND EXECUTIVE VP
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, par value $0.001 per share 224,898 I By: Javvis O Jacobson Trust
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
Stock Option (right to buy) (1) 01/01/2028 Common Stock, par value $0.001 per share 9,600 2.36 D
Stock Option (right to buy) (2) 12/24/2029 Common Stock, par value $0.001 per share 74,400 3.64 D
Stock Option (right to buy) 01/01/2021 01/01/2031 Common Stock, par value $0.001 per share 60,000 4.5 D
Explanation of Responses:
1. 50% of the option vests and becomes on January 1, 2022. 50% of the option vests and becomes exercisable on January 1, 2023.
2. 20% of the option vested and became exercisable immediately upon its grant on December 24, 2019. The remainder of the option vests and becomes exercisable in 1.7% increments on the first of each month beginning January 1, 2020 until it is fully vested and exercisable on December 1, 2023.
/s/ Jacobson Javvis O 11/18/2021
** 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 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.
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