SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Ward Tracy

(Last) (First) (Middle)
C/O BLACKSKY TECHNOLOGY INC.,
13241 WOODLAND PARK ROAD, SUITE 300

(Street)
HERNDON VA 20171

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/10/2022
3. Issuer Name and Ticker or Trading Symbol
BlackSky Technology Inc. [ BKSY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Principal Accounting Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 77,519(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options (Right To Buy) (2) 05/17/2029 Class A Common Stock 20,433 $0.012 D
Options (Right To Buy) (3) 03/03/2030 Class A Common Stock 67,263 $0.012 D
Explanation of Responses:
1. These securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock. The restricted stock units are granted pursuant to the BlackSky Technology Inc. 2014 Equity Incentive Plan ("the 2014 Plan"). The restricted stock units will vest as follows: one-half (1/2) of the RSUs will vest on March 8, 2022, and thereafter, one sixteenth (1/16th) of the total number of RSUs will be scheduled to vest quarterly on the 10th day of the third month of each quarter (March 10, June 10, September 10, December 10), in each case subject to the Reporting Person continuing to be a service provider through the applicable vesting date.
2. Each Option represents a right to purchase the underlying securities of the Issuer reported in Table II. The options are granted pursuant to the 2014 Plan. The shares subject to the Option will vest as follows: one fourth (1/4th) of the award vested on April 1, 2020 and thereafter, one forty-eighth (1/48th) of the award are scheduled to vest monthly on the 1st day of each month, subject to the Reporting Person continuing to be a service provider through the applicable vesting date.
3. Each Option represents a right to purchase the underlying securities of the Issuer reported in Table II. The options are granted pursuant to the 2014 Plan. The shares subject to the Option will vest as follows: one fourth (1/4th) of the award vested on October 31, 2020, and thereafter, one forty-eighth (1/48th) of the award are scheduled to vest monthly on the last day of each month, subject to the Reporting Person continuing to be a service provider through the applicable vesting date.
Remarks:
/s/ Christiana L. Lin, attorney-in-fact on behalf of Tracy Ward 08/10/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.