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*
MCDERMOTT EDWARD H

(Last) (First) (Middle)
C/O MERIDIANLINK, INC.
3560 HYLAND AVENUE, SUITE 200

(Street)
COSTA MESA CA 92626

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/16/2023
3. Issuer Name and Ticker or Trading Symbol
MeridianLink, Inc. [ MLNK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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)
Common Stock, par value $0.001 972,368 I By Family Trust 1(1)
Common Stock, par value $0.001 343,785 I By Family Limited Partnership 1(2)
Common Stock, par value $0.001 24,500 I See Footnote(3)
Common Stock, par value $0.001 23,592 I By Family Limited Partnership 2(4)
Common Stock, par value $0.001 36,280 I By Family Trust 2(5)
Common Stock, par value $0.001 10,986 I By Family Trust 3(6)
Common Stock, par value $0.001 25,967 I By Family Trust 4(7)
Common Stock, par value $0.001 24,970 I By Family Trust 5(8)
Common Stock, par value $0.001 89,560 I By Family Trust 6(9)
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
Explanation of Responses:
1. The shares are held directly by a family trust. The Reporting Person is a trustee of such trust and shares sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such trust.
2. The shares are held directly by a family limited partnership. The Reporting Person is a general partner of such family limited partnership, and the Reporting Person has sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such family limited partnership.
3. The shares are held through a Roth IRA for the benefit of the Reporting Person.
4. The shares are held directly by a family limited partnership. The Reporting Person is a general partner of such family limited partnership, and the Reporting Person has sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such family limited partnership.
5. The shares are held directly by a family trust. The Reporting Person is an Investment Direction Adviser of such trust and shares sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such trust.
6. The shares are held directly by a family trust. The Reporting Person is a manager of such trust and shares sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such trust, and the Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
7. The shares are held directly by a family trust. The Reporting Person is a manager of such trust and shares sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such trust, and the Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
8. The shares are held directly by a family trust. The Reporting Person is a trustee of such trust and shares sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such trust, and the Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
9. The shares are held directly by a family trust. The Reporting Person is a manager of such trust and shares sole voting and dispositive power with respect to all securities held by such entity. The Reporting Person may be deemed to be a beneficial owner of the securities held by such trust, and the Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Kayla Dailey, as Attorney-in-Fact 08/18/2023
** 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.