0000899243-22-006557.txt : 20220215 0000899243-22-006557.hdr.sgml : 20220215 20220215214804 ACCESSION NUMBER: 0000899243-22-006557 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220211 FILED AS OF DATE: 20220215 DATE AS OF CHANGE: 20220215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Steelberg Chad CENTRAL INDEX KEY: 0001704669 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38093 FILM NUMBER: 22641353 MAIL ADDRESS: STREET 1: 3366 VIA LIDO CITY: NEWPORT BEACH STATE: CA ZIP: 92663 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Veritone, Inc. CENTRAL INDEX KEY: 0001615165 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 471161641 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1515 ARAPAHOE ST. STREET 2: TOWER 3, SUITE 400 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 888-507-1737 MAIL ADDRESS: STREET 1: 1515 ARAPAHOE ST. STREET 2: TOWER 3, SUITE 400 CITY: DENVER STATE: CO ZIP: 80202 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-02-11 0 0001615165 Veritone, Inc. VERI 0001704669 Steelberg Chad 2420 17TH STREET, OFFICE 3002 DENVER CO 80202 1 1 1 0 See Remarks Common Stock 2022-02-11 4 F 0 89168 17.23 D 390390 D Common Stock 2022-02-14 4 J 0 215921 0.00 D 0 I Steel Veritone Fund I, LLC Common Stock 2022-02-14 4 J 0 59629 0.00 A 59629 I The C&CS Family Trust dated September 7, 2012 Common Stock 160426 I Held by CSVH, LLC Common Stock 425603 I Held by son Common Stock 425603 I Held by daughter Common Stock 425603 I Held by spouse as custodian Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 19590 0.00 D 2017-03-24 2027-03-24 Common Stock 19590 0 I Steel Veritone Fund I, LLC Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 19590 0.00 D 2017-04-17 2027-04-17 Common Stock 19590 0 I Steel Veritone Fund I, LLC Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 19591 0.00 D 2017-05-11 2027-05-11 Common Stock 19591 0 I Steel Veritone Fund I, LLC Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 19591 0.00 D 2017-05-11 2027-05-11 Common Stock 19591 0 I Steel Veritone Fund I, LLC Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 5389 0.00 A 2017-03-24 2027-03-24 Common Stock 5389 5389 I The C&CS Family Trust dated September 7, 2012 Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 5389 0.00 A 2017-04-17 2027-04-17 Common Stock 5389 5389 I The C&CS Family Trust dated September 7, 2012 Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 5386 0.00 A 2017-05-11 2027-05-11 Common Stock 5386 5386 I The C&CS Family Trust dated September 7, 2012 Common Stock Purchase Warrant (right to buy) 13.6088 2022-02-14 4 J 0 5386 0.00 A 2017-05-11 2027-05-11 Common Stock 5386 5386 I The C&CS Family Trust dated September 7, 2012 Represents shares that were withheld for the payment of taxes in connection with the vesting of restricted stock units. Reporting person is the trustee of The C&CS Family Trust dated September 7, 2012 and, as such, reporting person may be deemed a beneficial owner of such shares. Reporting person received the shares upon distribution of shares held by Steel Veritone Fund I, LLC (the "Fund"), which reporting person previously reported beneficial ownership of 215,921 shares owned by the Fund. Reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein. Shares are held by CSVH, LLC, a limited liability company. Reporting person is the sole manager and member of CSVH, LLC. Shares are held by reporting person's son. Reporting person disclaims beneficial ownership of such shares. Shares are held by reporting person's daughter. Reporting person disclaims beneficial ownership of such shares. Shares are held by reporting person's spouse, as custodian for his minor daughter. Reporting person disclaims beneficial ownership of such shares. Reporting person received the warrants upon distribution of warrants held by the Fund, which reporting person previously reported beneficial ownership of all warrants held by the Fund. Chief Executive Officer, Chairman of the Board /s/ Chad Steelberg 2022-02-15