0001209191-18-035789.txt : 20180605
0001209191-18-035789.hdr.sgml : 20180605
20180605170911
ACCESSION NUMBER: 0001209191-18-035789
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20180601
FILED AS OF DATE: 20180605
DATE AS OF CHANGE: 20180605
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lam Rachel
CENTRAL INDEX KEY: 0001579232
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35982
FILM NUMBER: 18882079
MAIL ADDRESS:
STREET 1: C/O TREMOR VIDEO, INC.
STREET 2: 53 WEST 23RD STREET
CITY: NEW YORK
STATE: NY
ZIP: 10010
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Telaria, Inc.
CENTRAL INDEX KEY: 0001375796
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING AGENCIES [7311]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1501 BROADWAY, SUITE 801
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: (646) 723-5300
MAIL ADDRESS:
STREET 1: 1501 BROADWAY, SUITE 801
CITY: NEW YORK
STATE: NY
ZIP: 10036
FORMER COMPANY:
FORMER CONFORMED NAME: TREMOR VIDEO INC.
DATE OF NAME CHANGE: 20110919
FORMER COMPANY:
FORMER CONFORMED NAME: TREMOR MEDIA INC
DATE OF NAME CHANGE: 20060918
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-06-01
0
0001375796
Telaria, Inc.
TLRA
0001579232
Lam Rachel
C/O TREMOR VIDEO, INC.
1501 BROADWAY, 8TH FLOOR
NEW YORK
NY
10036
1
0
0
0
Common Stock
2018-06-01
4
M
0
32467
A
127043
D
Restricted Stock Unit
2018-06-01
4
M
0
32467
0.00
D
Common Stock
32467
0
D
Restricted Stock Unit
2018-06-01
4
A
0
17564
0.00
A
Common Stock
17564
17564
D
The restricted stock unit granted to the Reporting Person on June 2, 2017 vested on June 1, 2018, the date of the Issuer's 2018 Annual Meeting of Stockholders, at which time it automatically converted into the same number of shares of common stock. While the shares of common stock are fully vested, they will not be issued until the expiration of the Issuer's current blackout period.
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock.
The restricted stock units vest in full on the date of the Issuer's 2019 Annual Meeting of Stockholders, subject to such director's continued service on the Board of Directors as of such date, and provided that if such meeting date occurs during a regular or special blackout period, the shares underlying the restricted stock unit awards will not be issued until the end of such blackout period.
/s/Aaron Saltz, Attorney-in-Fact
2018-06-05
EX-24.4_794567
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
(For Executing Form ID and Forms 3, 4 and 5)
Know all by these presents, that the undersigned hereby constitutes and
appoints J. Peyton Worley of Cooley LLP and Aaron Saltz of Telaria, Inc. (the
"Company"), signing individually, as the undersigned's true and lawful
attorneys-in fact and agents to:
(1) Prepare, execute in the undersigned's name and on the undersigned's behalf,
and submit to the Securities and Exchange Commission (the "SEC") Form ID and
Forms 3, 4 and 5 (including amendments thereto and joint filing agreements in
connection therewith) in accordance with Section 16(a) of the Securities
Exchange Act of 1934, as amended (the "Exchange Act") and the rules thereunder
in the undersigned's capacity as an officer, director or beneficial owner of
more than 10% of a registered class of securities of the Company;
(2) Do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable to prepare and execute any such Form ID or Forms
3, 4 or 5 (including amendments thereto and joint filing agreements in
connection therewith) and file such forms with the SEC and any stock exchange,
self-regulatory association or any similar authority; and
(3) Take any other action of any type whatsoever in connection with the
foregoing that, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required of the undersigned, it being
understood that the documents executed by the attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as the attorney-in-fact may approve in the
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney in fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney in fact, or such attorney
in fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, and their
substitutes, in serving in such capacity at the request of the undersigned, are
not assuming (nor is the Company assuming) any of the undersigned's
responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the earliest
to occur of (a) the undersigned is no longer required to file Form ID or Forms
3, 4 and 5 with respect to the undersigned's holdings of and transactions in
securities issued by the Company, (b) revocation by the undersigned in a signed
writing delivered to the Company and the foregoing attorneys-in fact or (c) as
to any attorney-in-fact individually, until such attorney-in-fact is no longer
employed by the Company or Cooley LLP, as applicable.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date written below.
Date: June 4, 2018
By: /s/ Rachel Lam