0001628280-22-027631.txt : 20221101 0001628280-22-027631.hdr.sgml : 20221101 20221101190453 ACCESSION NUMBER: 0001628280-22-027631 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221101 FILED AS OF DATE: 20221101 DATE AS OF CHANGE: 20221101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Patchel Francis P CENTRAL INDEX KEY: 0001858921 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41026 FILM NUMBER: 221351886 MAIL ADDRESS: STREET 1: 500 BEN FRANKLIN CT 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 wf-form4_166734387566374.xml FORM 4 X0306 4 2022-11-01 0 0001462056 Backblaze, Inc. BLZE 0001858921 Patchel Francis P 500 BEN FRANKLIN CT. SAN MATEO CA 94401 0 1 0 0 Chief Financial Officer Class A Common Stock 2022-11-01 4 C 0 3000 0 A 101129 D Class A Common Stock 2022-11-01 4 S 0 3000 4.76 D 98129 D Stock Option (right to buy) 2.61 2022-11-01 4 M 0 3000 0 D 2030-04-20 Class B Common Stock 3000.0 287060 D Class B Common Stock 2022-11-01 4 M 0 3000 0 A Class A Common Stock 3000.0 3000 D Class B Common Stock 2022-11-01 4 C 0 3000 0 D Class A Common Stock 3000.0 0 D The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $4.73 to $4.83, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. The options are subject to a service-based vesting requirement, which shall be satisfied over a four-year period. 25% of the options vested on March 1, 2021 and 1/48th of the options vest monthly thereafter, subject to the Reporting Person's continuous service with the issuer. The options are exercisable into shares of Class B Common Stock, which are convertible on a one-to-one basis into shares of Class A Common Stock at the option of the holder. 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 2022-11-01