0001462056-23-000162.txt : 20230607
0001462056-23-000162.hdr.sgml : 20230607
20230607172954
ACCESSION NUMBER: 0001462056-23-000162
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230605
FILED AS OF DATE: 20230607
DATE AS OF CHANGE: 20230607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: D An Evelyn
CENTRAL INDEX KEY: 0001325168
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41026
FILM NUMBER: 231000000
MAIL ADDRESS:
STREET 1: 1301 NE 103RD STREET
CITY: MIAMI SHORES
STATE: FL
ZIP: 33138
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Backblaze, Inc.
CENTRAL INDEX KEY: 0001462056
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 208893125
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 500 BEN FRANKLIN CT
CITY: SAN MATEO
STATE: CA
ZIP: 94401
BUSINESS PHONE: 650.352.3738
MAIL ADDRESS:
STREET 1: 500 BEN FRANKLIN CT
CITY: SAN MATEO
STATE: CA
ZIP: 94401
4
1
wk-form4_1686173383.xml
FORM 4
X0407
4
2023-06-05
0
0001462056
Backblaze, Inc.
BLZE
0001325168
D An Evelyn
500 BEN FRANKLIN CT.
SAN MATEO
CA
94401
1
0
0
0
0
Class A Common Stock
2023-06-05
4
A
0
35211
0
A
53187
D
Pursuant to the Issuer's Director Compensation Policy, the Reporting Person was granted restricted stock units ("RSUs"), which represent a contingent right to receive one share of Class A Common Stock for each RSU. The RSUs are subject to a service-based vesting requirement, which shall be satisfied on the earlier of (A) the date of the Issuer's next Annual Meeting of Stockholders, or (B) the one-year anniversary of June 5, 2023, provided that the Reporting Person remains in continuous service through such vesting date.
/s/ Thomas MacMitchell - Attorney-in-Fact
2023-06-07