0001209191-21-019672.txt : 20210310
0001209191-21-019672.hdr.sgml : 20210310
20210310211026
ACCESSION NUMBER: 0001209191-21-019672
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201208
FILED AS OF DATE: 20210310
DATE AS OF CHANGE: 20210310
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOUSE PATRICIA A
CENTRAL INDEX KEY: 0001241633
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39744
FILM NUMBER: 21731567
MAIL ADDRESS:
STREET 1: C/O C3.AI, INC.
STREET 2: 1300 SEAPORT BLVD, SUITE 500
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: 1300 SEAPORT BLVD
STREET 2: SUITE 500
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
BUSINESS PHONE: 650-503-2218
MAIL ADDRESS:
STREET 1: 1300 SEAPORT BLVD
STREET 2: SUITE 500
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
3/A
1
doc3a.xml
FORM 3/A SUBMISSION
X0206
3/A
2020-12-08
2020-12-08
0
0001577526
C3.ai, Inc.
AI
0001241633
HOUSE PATRICIA A
C/O C3.AI, INC.
1300 SEAPORT BLVD, SUITE 500
REDWOOD CITY
CA
94063
1
0
0
0
Class A Common Stock
89730
D
Class A Common Stock
397193
I
See Footnote
The shares are held by the Patricia A. House 2020 2 Year GRAT created UTA dated September 22, 2020, of which the Reporting Person is trustee.
This amendment is being filed to correctly reflect the shares held directly and indirectly.
/s/ Brady Mickelsen, Attorney-in-Fact
2021-03-10