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