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