0001415889-24-016504.txt : 20240612 0001415889-24-016504.hdr.sgml : 20240612 20240612162005 ACCESSION NUMBER: 0001415889-24-016504 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240610 FILED AS OF DATE: 20240612 DATE AS OF CHANGE: 20240612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ghamsari Nima CENTRAL INDEX KEY: 0001870974 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40599 FILM NUMBER: 241038651 MAIL ADDRESS: STREET 1: 415 KEARNY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blend Labs, Inc. CENTRAL INDEX KEY: 0001855747 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] ORGANIZATION NAME: 06 Technology 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 form4-06122024_040601.xml X0508 4 2024-06-10 0001855747 Blend Labs, Inc. BLND 0001870974 Ghamsari Nima 415 KEARNY ST. SAN FRANCISCO CA 94108 true true false false HEAD OF BLEND 0 Class A Common Stock 2024-06-10 4 J 0 1000000 0 A 3103516 D Class B Common Stock 2024-06-10 4 J 0 1000000 0 D Class A Common Stock 1000000 5275319 D Upon conversion of the shares of Class B Common Stock, the Reporting Person pledged an equal number of shares of Class A Common Stock as collateral to secure certain personal indebtedness. Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock and has no expiration date. The shares of Class B Common Stock held of record by the Reporting Person are pledged as collateral to secure certain personal indebtedness of the Reporting Person. /s/ Winnie Ling, Attorney-in-fact 2024-06-12