0001209191-23-026943.txt : 20230503
0001209191-23-026943.hdr.sgml : 20230503
20230503161323
ACCESSION NUMBER: 0001209191-23-026943
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221212
FILED AS OF DATE: 20230503
DATE AS OF CHANGE: 20230503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOUSE PATRICIA A
CENTRAL INDEX KEY: 0001241633
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39744
FILM NUMBER: 23883927
MAIL ADDRESS:
STREET 1: C/O C3.AI, INC.
STREET 2: 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
X0407
4
2022-12-12
1
0001577526
C3.ai, Inc.
AI
0001241633
HOUSE PATRICIA A
C/O C3.AI, INC.
1400 SEAPORT BLVD
REDWOOD CITY
CA
94063
0
0
0
1
Former Director
0
Class A Common Stock
2022-12-12
4
G
0
217755
0.00
D
0
I
See Footnote
Class A Common Stock
2022-12-12
4
G
0
217755
0.00
A
313966
D
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.
/s/ Eric Jensen, Attorney-in-Fact
2023-05-03