Diana Bushard - Aug 4, 2023 Form 3 Insider Report for Bloom HoldCo LLC (N/A)

Role: Chief Legal Officer, Chief Legal Officer; member of the limited liability company's board of managers.
Signature: /s/ Diana Bushard
Stock symbol: N/A
Transactions as of: Aug 4, 2023
Transactions value $: $0
Form type: 3
Date filed: 8/4/2023, 04:21 PM

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
holding	N/A	Restricted Stock Units							Aug 4, 2023	Bloom HoldCo LLC Units	150		Direct	F1, F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	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 150 Restricted Stock Units entitle Ms. Bushard to receive, upon vesting, 150 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.
F2	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 Ms. Bushard; however, a liquidity event has not occurred and there is no assurance that one will take place. Accordingly, the Restricted Stock Units held by Ms. Bushard are not vested.

Content

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 150 Restricted Stock Units entitle Ms. Bushard to receive, upon vesting, 150 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.

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 Ms. Bushard; however, a liquidity event has not occurred and there is no assurance that one will take place. Accordingly, the Restricted Stock Units held by Ms. Bushard are not vested.

Remarks:

Chief Legal Officer; member of the limited liability company's board of managers.