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*
Faulkner Chadwick Heath

(Last) (First) (Middle)
C/O CURO GROUP HOLDINGS CORP.
3527 NORTH RIDGE ROAD

(Street)
WICHITA KS 67205

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/06/2017
3. Issuer Name and Ticker or Trading Symbol
CURO Group Holdings Corp. [ CURO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
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 3,441,780 I See Footnote(1)
Common Stock 3,441,744 I See Footnote(2)
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
Explanation of Responses:
1. The shares are held directly by the Exempt Family Trust c/u Leah M. Faulkner 2017 Dynasty Trust (the "Leah Faulkner Trust"). Mr. Faulkner is the adviser of the Leah Faulkner Trust. Mr. Faulkner disclaims beneficial ownership of the shares held by the Leah Faulkner Trust except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that Mr. Faulkner is the beneficial owner of the shares held by the Leah Faulkner Trust.
2. The shares are held directly by the Exempt Family Trust c/u Chadwick H. Faulkner 2017 Dynasty Trust (the "Chad Faulkner Trust"). Mr. Faulkner is the adviser of the Chad Faulkner Trust. Mr. Faulkner disclaims beneficial ownership of the shares held by the Chad Faulkner Trust except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that Mr. Faulkner is the beneficial owner of the shares held by the Chad Faulkner Trust.
Remarks:
Exhibit List Exhibit List: Exhibit 24 - Power of Attorney
/s/ Vin Thomas, attorney-in-fact 12/06/2017
** 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.
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