0001209191-21-047816.txt : 20210722
0001209191-21-047816.hdr.sgml : 20210722
20210722174418
ACCESSION NUMBER: 0001209191-21-047816
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210720
FILED AS OF DATE: 20210722
DATE AS OF CHANGE: 20210722
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Eggers Barry
CENTRAL INDEX KEY: 0001366048
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40599
FILM NUMBER: 211108528
MAIL ADDRESS:
STREET 1: 2200 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mhatre Ravi
CENTRAL INDEX KEY: 0001366050
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40599
FILM NUMBER: 211108529
MAIL ADDRESS:
STREET 1: 2200 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nieh Peter
CENTRAL INDEX KEY: 0001366051
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40599
FILM NUMBER: 211108527
MAIL ADDRESS:
STREET 1: 2200 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Blend Labs, Inc.
CENTRAL INDEX KEY: 0001855747
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 455211045
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 415 KEARNY ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
BUSINESS PHONE: (650) 550-4810
MAIL ADDRESS:
STREET 1: 415 KEARNY ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-07-20
0
0001855747
Blend Labs, Inc.
BLND
0001366050
Mhatre Ravi
2200 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001366048
Eggers Barry
2200 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001366051
Nieh Peter
2200 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Class A Common Stock
2021-07-20
4
C
0
16335022
0.00
A
17418355
I
By Lightspeed Venture Partners IX, L.P
Class A Common Stock
2021-07-20
4
C
0
4554845
0.00
A
6047382
I
By Lightspeed Venture Partners Select, L.P.
Class A Common Stock
2021-07-20
4
C
0
2261500
0.00
A
2261500
I
By Lightspeed Venture Partners Select III, L.P.
Class B Common Stock
2021-07-20
4
C
0
463061
0.00
D
Class A Common Stock
463061
0
I
By Lightspeed Venture Partners IX, L.P
Series A Preferred Stock
2021-07-20
4
C
0
7606645
0.00
D
Class B Common Stock
7606645
0
I
By Lightspeed Venture Partners IX, L.P
Series B Preferred Stock
2021-07-20
4
C
0
3856742
0.00
D
Class B Common Stock
3856742
0
I
By Lightspeed Venture Partners IX, L.P
Series B-1 Preferred Stock
2021-07-20
4
C
0
2724414
0.00
D
Class B Common Stock
2724414
0
I
By Lightspeed Venture Partners IX, L.P
Series D Preferred Stock
2021-07-20
4
C
0
1684160
0.00
D
Class B Common Stock
1684160
0
I
By Lightspeed Venture Partners IX, L.P
Class B Common Stock
2021-07-20
4
C
0
15871961
0.00
A
Class A Common Stock
15871961
15871961
I
By Lightspeed Venture Partners IX, L.P
Class B Common Stock
2021-07-20
4
C
0
15871961
0.00
D
Class A Common Stock
15871961
0
I
By Lightspeed Venture Partners IX, L.P
Series C Preferred Stock
2021-07-20
4
C
0
2870685
0.00
D
Class B Common Stock
2870685
0
I
By Lightspeed Venture Partners Select, L.P.
Series D Preferred Stock
2021-07-20
4
C
0
1684160
0.00
D
Class B Common Stock
1684160
0
I
By Lightspeed Venture Partners Select, L.P.
Class B Common Stock
2021-07-20
4
C
0
4554845
0.00
A
Class A Common Stock
4554845
4554845
I
By Lightspeed Venture Partners Select, L.P.
Class B Common Stock
2021-07-20
4
C
0
4554845
0.00
D
Class A Common Stock
4554845
0
I
By Lightspeed Venture Partners Select, L.P.
Series E Preferred Stock
2021-07-20
4
C
0
2261500
0.00
D
Class B Common Stock
2261500
0
I
By Lightspeed Venture Partners Select III, L.P.
Class B Common Stock
2021-07-20
4
C
0
2261500
0.00
A
Class A Common Stock
2261500
2261500
I
By Lightspeed Venture Partners Select III, L.P.
Class B Common Stock
2021-07-20
4
C
0
2261500
0.00
D
Class A Common Stock
2261500
0
I
By Lightspeed Venture Partners Select III, L.P.
Shares are held by Lightspeed Venture Partners IX, L.P ("Lightspeed IX"). Lightspeed General Partner IX, L.P. ("LGP IX"), is the general partner of Lightspeed IX. Lightspeed Ultimate General Partner IX, Ltd. ("LUGP IX") is the general partner of LGP IX. Barry Eggers, Ravi Mhatre, and Peter Nieh are the directors of LUGP IX and share voting and dispositive power with respect to the shares held by Lightspeed IX. Messrs. Eggers, Mhatre, and Nieh disclaim beneficial ownership of the shares held by Lightspeed IX except to the extent of their respective pecuniary interests therein.
Shares are held by Lightspeed Venture Partners Select, L.P. ("Lightspeed Select"). Lightspeed General Partner Select, L.P. ("LGP Select") is the general partner of Lightspeed Select. Lightspeed Ultimate General Partner Select, Ltd. ("LUGP Select") is the general partner of LGP Select. Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh are the directors of LUGP Select and share voting and dispositive power with respect to the shares held by Lightspeed Select. LGP Select, LUGP Select and Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed Select, except to the extent of their respective pecuniary interests therein.
Shares are held by Lightspeed Venture Partners Select III, L.P. ("Lightspeed Select III"). Lightspeed Ultimate General Partner Select III, Ltd ("LUGP Select III") is the general partner of Lightspeed Select III. Barry Eggers, Jeremy Liew, Ravi Mhatre, and Peter Nieh are the directors of LUGP Select III and share voting and dispositive power with respect to the shares held by Lightspeed Select III. LUGP Select III and Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed Select III, except to the extent of their respective pecuniary interests therein.
Each share of Class B Common Stock was converted into one share of Class A Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock.
Each share of Series A Preferred Stock, Series B Preferred Stock, Series B-1 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series E Preferred Stock was first converted into one share of Class B Common Stock followed by a subsequent conversion into Class A Common Stock prior to the completion of the Issuer's initial public offering of Class A Common Stock.
/s/ Ravi Mhatre
2021-07-22
/s/ Barry Eggers
2021-07-22
/s/ Peter Nieh
2021-07-22