0001209191-23-044292.txt : 20230802
0001209191-23-044292.hdr.sgml : 20230802
20230802182052
ACCESSION NUMBER: 0001209191-23-044292
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230801
FILED AS OF DATE: 20230802
DATE AS OF CHANGE: 20230802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SIEBEL THOMAS M
CENTRAL INDEX KEY: 0001031530
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39744
FILM NUMBER: 231137406
MAIL ADDRESS:
STREET 1: 1400 SEAPORT BLVD
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: C3.ai, Inc.
CENTRAL INDEX KEY: 0001577526
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 263999357
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0430
BUSINESS ADDRESS:
STREET 1: 1400 SEAPORT BLVD
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
BUSINESS PHONE: 650-503-2200
MAIL ADDRESS:
STREET 1: 1400 SEAPORT BLVD
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
FORMER COMPANY:
FORMER CONFORMED NAME: C3 IoT, Inc.
DATE OF NAME CHANGE: 20180123
FORMER COMPANY:
FORMER CONFORMED NAME: C3, Inc.
DATE OF NAME CHANGE: 20130522
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-08-01
0
0001577526
C3.ai, Inc.
AI
0001031530
SIEBEL THOMAS M
C/O C3.AI, INC.
1400 SEAPORT BLVD
REDWOOD CITY
CA
94603
1
1
1
0
Chief Executive Officer
0
Class A Common Stock
2023-08-01
4
M
0
53125
A
1809515
D
Class A Common Stock
2023-08-01
4
F
0
26340
44.37
D
1783175
D
Class A Common Stock
2023-08-02
4
G
0
26785
0.00
D
1756390
D
Class A Common Stock
2023-08-02
4
G
0
26785
0.00
A
3649137
I
See Footnote
Class A Common Stock
9216
I
See Footnote
Class A Common Stock
170294
I
See Footnote
Class A Common Stock
72695
I
See Footnote
Class A Common Stock
1237115
I
See Footnote
Restricted Stock Units
2023-08-01
4
M
0
53125
0.00
D
Class A Common Stock
53125
584375
D
Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement.
The shares are held by The Siebel Living Trust u/a/d 7/27/93, as amended, of which the Reporting Person is trustee.
The shares are held by First Virtual Holdings, LLC, of which the Reporting Person is Chairman.
The shares are held by Siebel Asset Management, L.P., of which the Reporting Person is the general partner.
The shares are held by Siebel Asset Management III, L.P., of which the Reporting Person is the general partner.
The shares are held by The Siebel 2011 Irrevocable Children's Trust, of which the Reporting Person is co-trustee.
6.25% of each such RSU award vested on August 1, 2022 and 6.25% of each such RSU award shall vest on a quarterly basis thereafter, so long as the Reporting Person continues to provide services through such vesting date.
/s/ Eric Jensen, Attorney-in-Fact
2023-08-02