0001209191-21-068626.txt : 20211208 0001209191-21-068626.hdr.sgml : 20211208 20211208202640 ACCESSION NUMBER: 0001209191-21-068626 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211206 FILED AS OF DATE: 20211208 DATE AS OF CHANGE: 20211208 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: 211480030 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: 211480031 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: 211480029 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 2021-12-06 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 2021-12-06 4 J 0 2600000 0.00 D 14818355 I By Lightspeed Venture Partners IX, L.P Class A Common Stock 2021-12-06 4 J 0 82908 0.00 A 82908 D Class A Common Stock 2021-12-06 4 J 0 82908 0.00 A 82908 D Class A Common Stock 2021-12-06 4 J 0 82908 0.00 A 82908 D Class A Common Stock 6047382 I By Lightspeed Venture Partners Select, L.P. Class A Common Stock 2261500 I By Lightspeed Venture Partners Select III, L.P. Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Lightspeed Venture Partners IX, L.P ("Lightspeed IX") to its general partner and limited partners without additional consideration. The general partner further distributed the shares received in this distribution to its members on a pro rata basis for no consideration. Shares are held by 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. Each of Messrs. Eggers, Mhatre, and Nieh disclaims beneficial ownership of the shares held by Lightspeed IX except to the extent of his respective pecuniary interest therein. Represents receipt of shares in the distribution in kind described in footnote (1). Shares are held by Ravi Mhatre. Shares are held by Barry Eggers. Shares are held by Peter Nieh. 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, Ravi Mhatre and Peter Nieh are directors of LUGP Select and share voting and dispositive power with respect to the shares held by Lightspeed Select. Each of Messrs. Eggers, Mhatre, and Nieh disclaims beneficial ownership of the shares held by Lightspeed Select except to the extent of his respective pecuniary interest therein. Shares are held by Lightspeed Venture Partners Select III, L.P. ("Lightspeed Select III"). Lightspeed General Partner Select III, L.P. ("LGP Select III") is the general partner of Lightspeed Select III. Lightspeed Ultimate General Partner Select III, Ltd ("LUGP Select III") is the general partner of LGP Select III. Barry Eggers, Ravi Mhatre, and Peter Nieh are directors of LUGP Select III and share voting and dispositive power with respect to the shares held by Lightspeed Select III. Each of Messrs. Eggers, Mhatre, and Nieh disclaims beneficial ownership of the shares held by Lightspeed Select III except to the extent of his respective pecuniary interest therein. /s/ Ravi Mhatre 2021-12-08 /s/ Barry Eggers 2021-12-08 /s/ Peter Nieh 2021-12-08