0000899243-23-010972.txt : 20230407
0000899243-23-010972.hdr.sgml : 20230407
20230407170007
ACCESSION NUMBER: 0000899243-23-010972
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230406
FILED AS OF DATE: 20230407
DATE AS OF CHANGE: 20230407
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VERHALEN ANDREW W
CENTRAL INDEX KEY: 0001205979
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35667
FILM NUMBER: 23809154
MAIL ADDRESS:
STREET 1: C/O MATRIX PARTNERS
STREET 2: 250 HOMER AVE SUITE 201
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMBARELLA INC
CENTRAL INDEX KEY: 0001280263
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 980459628
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 3101 JAY STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: 408-734-8888
MAIL ADDRESS:
STREET 1: 3101 JAY STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-04-06
0
0001280263
AMBARELLA INC
AMBA
0001205979
VERHALEN ANDREW W
260 HOMER AVENUE, SUITE 201
PALO ALTO
CA
94301
1
0
0
0
0
Ordinary Shares
2023-04-06
4
M
0
5555
16.35
A
78957
D
Ordinary Shares
11455
I
By Andrew W. Verhalen and Janet L. Brownstone Trust 12/01/1989
Ordinary Shares
850
I
By Nicole Brownstone Verhalen 1997 Trust
Ordinary Shares
850
I
By Sara Rose Verhalen 1997 Trust
Stock Option (right to buy)
16.35
2023-04-06
4
M
0
5555
0.00
D
2023-06-05
Ordinary Shares
5555
0
D
Shares subject to the option vested monthly over one year beginning on June 6, 2013.
/s/ Michael Morehead by Power of Attorney
2023-04-07