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*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 02/12/2021 | 3. Issuer Name and Ticker or Trading Symbol Oblong, Inc. [ OBLG ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 | 6,201,035 | I | Held by Foundry Group Select Fund, L.P.(1) |
Common Stock | 1,638,474 | I | Held by Foundry Venture Capital 2007, L.P.(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Shares held directly by Foundry Group Select Fund, L.P. ("Foundry Select"). Foundry Select Fund GP, LLC ("Foundry Select GP") is the general partner of Foundry Select. Bradley Feld ("Feld"), Seth Levine ("Levine") and Ryan McIntyre ("McIntyre" and, with Feld and Levine, the "Managing Members") are the managing members of Foundry Select GP and may be deemed to share voting and dispositive power with respect to the shares held by Foundry Select. Accordingly, each of Foundry Select GP and the Managing Members may be deemed to beneficially own the shares held by Foundry Select, but each disclaims beneficial ownership of such securities except to the extent of its or his respective pecuniary interest therein. |
2. Shares held directly by Foundry Venture Capital 2007, L.P. ("Foundry 2007"). Foundry Venture 2007, LLC ("Foundry Venture") is the general partner of Foundry 2007. The Managing Members are the managing members of Foundry Venture and may be deemed to share voting and dispositive power with respect to the shares held by Foundry 2007. Accordingly, each of Foundry Venture and the Managing Members may be deemed to beneficially own the shares held by Foundry 2007, but each disclaims beneficial ownership of such securities except to the extent of its or his respective pecuniary interest therein. |
Remarks: |
Foundry Group Select Fund, L.P., by: Foundry Select Fund GP, LLC, by /s/ Bradley A. Feld, Managing Member | 02/22/2021 | |
Foundry Select Fund GP, LLC, by: /s/ Bradley A. Feld, Managing Member | 02/22/2021 | |
Foundry Venture Capital 2007, L.P., by: Foundry Venture 2007, LLC, by /s/ Bradley A. Feld, Managing Member | 02/22/2021 | |
Foundry Venture 2007, LLC, by: /s/ Bradley A. Feld, Managing Member | 02/22/2021 | |
/s/ Bradley A. Feld | 02/22/2021 | |
/s/ Ryan McIntyre | 02/22/2021 | |
/s/ Seth Levine | 02/22/2021 | |
** 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. |