0001209191-23-016523.txt : 20230306 0001209191-23-016523.hdr.sgml : 20230306 20230306193518 ACCESSION NUMBER: 0001209191-23-016523 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230302 FILED AS OF DATE: 20230306 DATE AS OF CHANGE: 20230306 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: 23710613 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 2023-03-02 0 0001615165 Veritone, Inc. VERI 0001704669 Steelberg Chad 2420 17TH STREET, OFFICE 3002 DENVER CO 80202 1 0 1 0 Common Stock 2023-03-02 4 F 0 68554 6.36 D 504657 D Common Stock 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 Represents shares that were withheld for payment of taxes upon 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 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. /s/ Craig Gatarz, As Attorney-in-fact 2023-03-06