0001628280-22-016385.txt : 20220606 0001628280-22-016385.hdr.sgml : 20220606 20220606193919 ACCESSION NUMBER: 0001628280-22-016385 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220602 FILED AS OF DATE: 20220606 DATE AS OF CHANGE: 20220606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carter-Miller Jocelyn CENTRAL INDEX KEY: 0001408467 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41026 FILM NUMBER: 22999478 MAIL ADDRESS: STREET 1: 3698 NW 15TH STREET CITY: LAUDERHILL STATE: FL ZIP: 33311 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 wf-form4_165455874404128.xml FORM 4 X0306 4 2022-06-02 0 0001462056 Backblaze, Inc. BLZE 0001408467 Carter-Miller Jocelyn 500 BEN FRANKLIN CT. SAN MATEO CA 94401 1 0 0 0 Class A Common Stock 2022-06-02 4 A 0 13156 0 A 22531 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 2, 2022, provided that the Reporting Person remains in continuous service through such vesting date. /s/ Thomas MacMitchell - Attorney-in-Fact 2022-06-03