0000899243-22-014700.txt : 20220413 0000899243-22-014700.hdr.sgml : 20220413 20220413165519 ACCESSION NUMBER: 0000899243-22-014700 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220411 FILED AS OF DATE: 20220413 DATE AS OF CHANGE: 20220413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ng Kwok Hang CENTRAL INDEX KEY: 0001882791 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41026 FILM NUMBER: 22825209 MAIL ADDRESS: STREET 1: 500 BEN FRANKLIN COURT 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 doc4.xml FORM 4 SUBMISSION X0306 4 2022-04-11 0 0001462056 Backblaze, Inc. BLZE 0001882791 Ng Kwok Hang 500 BEN FRANKLIN CT. SAN MATEO CA 94401 0 0 1 0 Class A Common Stock 2022-04-11 4 C 0 564000 A 564000 D Class B Common Stock 2022-04-11 4 C 0 564000 0.00 D Class A Common Stock 564000 2326321 D 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 2022-04-13