0001415889-24-019704.txt : 20240717
0001415889-24-019704.hdr.sgml : 20240717
20240717180006
ACCESSION NUMBER: 0001415889-24-019704
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240715
FILED AS OF DATE: 20240717
DATE AS OF CHANGE: 20240717
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: 241123211
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
form4-07172024_060701.xml
X0508
4
2024-07-15
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
2024-07-15
4
J
0
475000
0
A
4131600
D
Class B Common Stock
2024-07-15
4
J
0
475000
0
D
Class A Common Stock
475000
4247235
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.
Following this transaction and as of the date hereof, the shares beneficially owned by the Reporting Person represent approximately 44% of the total voting power of the Company's outstanding capital stock.
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
2024-07-17