0000899243-16-032378.txt : 20161027 0000899243-16-032378.hdr.sgml : 20161027 20161027180355 ACCESSION NUMBER: 0000899243-16-032378 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20161027 FILED AS OF DATE: 20161027 DATE AS OF CHANGE: 20161027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLACKLINE, INC. CENTRAL INDEX KEY: 0001666134 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 463354276 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 21300 VICTORY BOULEVARD STREET 2: 12TH FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 BUSINESS PHONE: 818-223-9008 MAIL ADDRESS: STREET 1: 21300 VICTORY BOULEVARD STREET 2: 12TH FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH GRAHAM CENTRAL INDEX KEY: 0001219883 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37924 FILM NUMBER: 161956530 MAIL ADDRESS: STREET 1: 301 BRANNMAN ST CITY: SAN FRANCISCO STATE: CA ZIP: 94107 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2016-10-27 0 0001666134 BLACKLINE, INC. BL 0001219883 SMITH GRAHAM C/O BLACKLINE, INC. 21300 VICTORY BLVD., 12TH FLOOR WOODLAND HILLS CA 91367 1 0 0 0 Common Stock 25000 D Stock Option (right to buy) 14.50 2025-05-19 Common Stock 75000 D The original option was granted for 100,000 shares and has been partially exercised. The shares subject to the original option vest in 4 equal, annual installments beginning on the one year anniversary of May 20, 2015. Exhibit 24.1 - Power of Attorney /s/ Karole Morgan-Prager, Attorney-in-Fact 2016-10-27 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT

                                   Exhibit 24
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              LIMITED POWER OF ATTORNEY - SECURITIES LAW COMPLIANCE


     The undersigned, as an officer or director of BlackLine, Inc. (the
"Corporation"), hereby constitutes and appoints Karole Morgan-Prager and Michael
Rauch, each the undersigned's true and lawful attorney-in-fact and agent to
complete and execute such Forms 144, Form ID, Forms 3, 4 and 5 and other forms
as such attorney shall in his or her discretion determine to be required or
advisable pursuant to Rule 144 promulgated under the Securities Act of 1933, as
amended, Section 16 of the Securities Exchange Act of 1934, as amended, and the
rules and regulations promulgated thereunder, or any successor laws and
regulations, as a consequence of the undersigned's ownership, acquisition or
disposition of securities of the Corporation, and to do all acts necessary in
order to file such forms with the Securities and Exchange Commission, any
securities exchange or national association, the Corporation and such other
person or agency as the attorney shall deem appropriate.

     The undersigned hereby ratifies and confirms all that said
attorneys-in-fact and agents shall do or cause to be done by virtue hereof. The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving in
such capacity at the request of the undersigned, are not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934 (as amended).

     This Limited Power of Attorney shall remain in full force and effect until
the undersigned is no longer required to file Forms 3, 4 and 5 with respect to
the undersigned's holdings of and transactions in securities issued by the
Corporation unless earlier revoked by the undersigned in a writing delivered to
the foregoing attorneys-in-fact.

     This Limited Power of Attorney is executed as of the date set forth below.

                                      Signature:      /s/ Graham V. Smith
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                                      Print Name: Graham V. Smith
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                                      Dated: October 19, 2016
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