SEC Form 5 · accession 0000899243-18-003875
BLACKLINE, INC. · BL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Therese Tucker
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Dec 31, 2017
Accepted (ET)
Feb 14, 2018 · 5:05 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001666134
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 27, 2017 | G | 21,278 | $0.00 | D | 54,074 | I | By: CS 2015 GRAT dated 9/28/2015 |
| Common Stock | Nov 27, 2017 | G | 21,278 | $0.00 | A | 21,278 | I | By: Brian & Therese Tucker Living Trust |
| Common Stock | Nov 27, 2017 | G | 54,074 | $0.00 | D | 0 | I | By: CS 2015 GRAT dated 9/28/2015 |
| Common Stock | Nov 27, 2017 | G | 54,074 | $0.00 | A | 54,074 | I | By: Claire Seimetz 2015 Trust |
| Common Stock | Nov 27, 2017 | G | 106,387 | $0.00 | D | 270,916 | I | By: SAFETY NET GRAT dated 9/28/2015 |
| Common Stock | Nov 27, 2017 | G | 106,387 | $0.00 | A | 127,665 | I | By: Brian & Therese Tucker Living Trust |
| Common Stock | Nov 27, 2017 | G | 3,404,945 | $0.00 | D | 18,000 | D | |
| Common Stock | Nov 27, 2017 | G | 3,404,945 | $0.00 | A | 3,532,610 | I | By: Brian & Therese Tucker Living Trust |
| Common Stock | Nov 27, 2017 | G | 270,916 | $0.00 | D | 0 | I | By: SAFETY NET GRAT dated 9/28/2015 |
| Common Stock | Nov 27, 2017 | G | 270,916 | $0.00 | A | 270,916 | I | By: Tucker Seimetz Safety Net Grat |
| Common Stock | holding | — | — | — | 1,200,000 | I | Tucker Legacy Trust | |
| Common Stock | holding | — | — | — | 637,200 | I | Isaac Tucker 2012 Irrevocable Trust | |
| Common Stock | holding | — | — | — | 637,200 | I | Roseanna Tucker 2012 Irrevocable Trust |
Table II — derivative securities
No Table II lines on this filing.