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