UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL 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 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: 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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LERER KENNETH B C/O BLADE AIR MOBILITY, INC. 499 EAST 34TH STREET NEW YORK, NY 10016 |
X |
/s/ Melissa M. Tomkiel, Attorney-in-fact for Kenneth Lerer | 05/17/2021 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Held directly by Lerer Investments II, LLC. Kenneth Lerer is Managing Member of Lerer Investments II, LLC. |
(2) | Held directly by Lerer Hippeau Ventures Select Fund, LP. Kenneth Lerer is the Managing Member of Lerer Hippeau Ventures Select Fund GP, LLC, the general partner of Lerer Hippeau Ventures Select Fund, L.P. |
(3) | Held directly by Lerer Hippeau Ventures V, LP. Kenneth Lerer is the Managing Member of Lerer Hippeau Ventures V GP, LLC, the general partner of Lerer Hippeau Ventures V, L.P. |
(4) | Kenneth Lerer disclaims beneficial ownership of the reported securities, except to the extent of any pecuniary interest therein. |
Remarks: Exhibit 24.1 - Power of Attorney |