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*
Daum Brian G.

(Last) (First) (Middle)
C/O BLACKSKY TECHNOLOGY INC.,
13241 WOODLAND PARK ROAD, SUITE 300

(Street)
HERNDON VA 20271

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/09/2021
3. Issuer Name and Ticker or Trading Symbol
BlackSky Technology Inc. [ BKSY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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)
Class A Common Stock 1,424,274(1)(2)(3) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Explanation of Responses:
1. Reflects shares of Class A common stock, par value $0.0001, of BlackSky Technology Inc., f/k/a Osprey Technology Acquisition Corp. (the "Issuer"), acquired on September 9, 2021, upon the completion of the merger (the "Business Combination") pursuant to the Agreement and Plan of Merger, dated as of February 17, 2021, by and among the Issuer, Osprey Technology Merger Sub, Inc., a Delaware corporation and a direct wholly owned subsidiary of Osprey Technology Acquisition Corp., and BlackSky Holdings, Inc., a Delaware corporation ("BlackSky") (the "Merger Agreement").
2. At the effective time of the Business Combination (the "Effective Time"), (i) each share of BlackSky Class A common stock outstanding immediately prior to the Effective Time was converted into the right to receive 0.0912 of a share to the Class A common stock of the Issuer, subject to rounding.
3. Represents 526,098 shares of Common Stock and 898,176 restricted stock units, each restricted stock unit representing the right to receive one share of Class A common stock of BlackSky, that will vest one-half of the number of shares subject to the restricted stock unit award scheduled to vest pursuant to the achievement of certain time and performance conditions (the "First Vesting Date"), and thereafter one-sixteenth of the number of shares subject to the restricted stock unit award will vest on each of the eight consecutive quarterly vesting dates with the first such subsequent vesting date occurring on or after the three months following the First Vesting Date. For avoidance of doubt, the quarterly vesting dates shall mean March 10, June 10, September 10, and December 10.
Remarks:
/s/ Christiana L. Lin, attorney-in-fact on behalf of Brian G. Daum 09/16/2021
** 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.
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