Sec Form 3 Filing - Mullins Steven P @ Bloom HoldCo LLC - 2023-08-04

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Mullins Steven P
2. Issuer Name and Ticker or Trading Symbol
Bloom HoldCo LLC [ N/A]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) X __ Other (specify below)
See Remarks/See Remarks
(Last) (First) (Middle)
C/O BLOOM HOLDCO LLC,, 1000 BRICKELL AVENUE, SUITE 715
3. Date of Earliest Transaction (MM/DD/YY)
08/04/2023
(Street)
MIAMI, FL33131
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
BLT Token 0.49 I ( 1 ) Through a sole proprietorship
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units ( 3 ) ( 2 ) ( 2 ) ( 2 ) Bloom HoldCo LLC Units ( 3 ) < /span> 100 D ( 2 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Mullins Steven P
C/O BLOOM HOLDCO LLC,
1000 BRICKELL AVENUE, SUITE 715
MIAMI, FL33131
See Remarks See Remarks
Signatures
/s/ Steve Mullins by Diana Bushard, Attorney in Fact 08/04/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )SPM Consulting, a Virginia sole proprietorship, directly holds the BLT Tokens of the Issuer. Mr. Mullins [has exclusive voting and investment control over the BLT Tokens held by SPM Consulting, and therefore may be deemed to beneficially own such BLT Tokens. The BLT Tokens do not carry any economic rights, do not entitle the holder thereof to voting rights, are not convertible into any other securities of the Issuer, and do not expire.
( 2 )Award granted under the Bloom HoldCo LLC Amended and Restated 2019 Equity Incentive Plan on August 13, 2021. The award, if not vested, expires ten years from the grant date. The 100 Restricted Stock Units entitle Mr. Mullins to receive, upon vesting, 100 units of Bloom HoldCo LLC, each of which shall be "nonvoting" limited liability company units in accordance with the Bloom HoldCo LLC Second Amended and Restated Limited Liability Operating Agreement. The Restricted Stock Units do not have economic rights.
( 3 )The Restricted Stock Units represent the right to receive the value of a number of Bloom HoldCo LLC units at a specified date in the future and are subject to vesting based on service, time-based vesting requirements and/or achievement of performance conditions, including the occurrence of a "liquidity event" (as such term is defined in the Bloom HoldCo LLC Amended and Restated 2019 Equity Incentive Plan). The time vesting criteria have been satisfied with respect to all of the Restricted Stock Units held by Mr. Mullins; however, a liquidity event has not occurred and there is no assurance that one will take place. Accordingly, the Restricted Stock Units held by Mr. Mullins are not vested.

Remarks:
Chief Financial Officer; member of the limited liability company's board of managers.

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 4(b)(v).
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