0001628280-23-014946.txt : 20230502
0001628280-23-014946.hdr.sgml : 20230502
20230502184731
ACCESSION NUMBER: 0001628280-23-014946
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230501
FILED AS OF DATE: 20230502
DATE AS OF CHANGE: 20230502
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Patchel Francis P
CENTRAL INDEX KEY: 0001858921
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41026
FILM NUMBER: 23881037
MAIL ADDRESS:
STREET 1: 500 BEN FRANKLIN CT
CITY: SAN MATEO
STATE: CA
ZIP: 94401
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_168306763663809.xml
FORM 4
X0407
4
2023-05-01
0
0001462056
Backblaze, Inc.
BLZE
0001858921
Patchel Francis P
500 BEN FRANKLIN CT.
SAN MATEO
CA
94401
0
1
0
0
Chief Financial Officer
1
Class A Common Stock
2023-05-01
4
C
0
3000
0
A
107064
D
Class A Common Stock
2023-05-01
4
S
0
3000
4.12
D
104064
D
Stock Option (right to buy)
2.61
2023-05-01
4
M
0
3000
0
D
2030-04-20
Class B Common Stock
3000.0
269060
D
Class B Common Stock
2023-05-01
4
M
0
3000
0
A
Class A Common Stock
3000.0
3000
D
Class B Common Stock
2023-05-01
4
C
0
3000
0
D
Class A Common Stock
3000.0
0
D
The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $4.085 to $4.165, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein.
The options are subject to a service-based vesting requirement, which shall be satisfied over a four-year period. 25% of the options vested on March 1, 2021 and 1/48th of the options vest monthly thereafter, subject to the Reporting Person's continuous service with the issuer. The options are exercisable into shares of Class B Common Stock, which are convertible on a one-to-one basis into shares of Class A Common Stock at the option of the holder.
Each share of Class B Common Stock is convertible into one share of Class A Common Stock at any time at the option of the Reporting Person and has no expiration date.
/s/ Thomas MacMitchell - Attorney-in-Fact
2023-05-02