0001593968-18-000597.txt : 20180319
0001593968-18-000597.hdr.sgml : 20180319
20180319190423
ACCESSION NUMBER: 0001593968-18-000597
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180315
FILED AS OF DATE: 20180319
DATE AS OF CHANGE: 20180319
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gehl Jeff Patrick
CENTRAL INDEX KEY: 0001705527
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38093
FILM NUMBER: 18700242
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: 575 ANTON BOULEVARD
CITY: COSTA MESA
STATE: CA
ZIP: 92626
BUSINESS PHONE: 888-507-1737
MAIL ADDRESS:
STREET 1: 575 ANTON BOULEVARD
CITY: COSTA MESA
STATE: CA
ZIP: 92626
4
1
primary_01.xml
PRIMARY DOCUMENT
X0306
4
2018-03-15
0001615165
Veritone, Inc.
VERI
0001705527
Gehl Jeff Patrick
C/O VERITONE, INC.
575 ANTON BOULEVARD
COSTA MESA
CA
92626
true
false
false
false
Common Stock
2018-03-15
4
J
false
29400
0
A
29400
I
By Trust
Common Stock
43184
I
By BigBoy, LLC
Common Stock
10000
D
Common Stock Purchase Warrant (right to buy)
13.6088
2017-03-24
2027-03-24
Common Stock
3918
3918
I
By BigBoy, LLC
Common Stock Purchase Warrant (right to buy)
13.6088
2017-04-17
2027-04-17
Common Stock
3918
3918
I
By BigBoy, LLC
Common Stock Purchase Warrant (right to buy)
13.6088
2017-05-11
2027-05-11
Common Stock
3918
3918
I
By BigBoy, LLC
Common Stock Purchase Warrant (right to buy)
13.6088
2017-05-11
2027-05-11
Common Stock
3918
3918
I
By BigBoy, LLC
Shares were acquired by reporting person, as trustee of his living trust, as a result of a pro rata distribution by BV16, LLC to all of its members.
Shares are held by reporting person, as trustee of his living trust.
Consists of shares that have been distributed by Veritone LOC I, LLC ("VLOC") to BigBoy, LLC pursuant to a pro rata distribution to all of the members of VLOC. As the Manager of VLOC, reporting person had previously reported the aggregate number of the shares of the issuer held by VLOC as indirectly owned by reporting person and disclaimed beneficial ownership of such shares except to the extent of his pecuniary interest therein. While such distribution has resulted in reporting person now reporting fewer shares owned, it has not changed his pecuniary interest in the shares previously held by VLOC and represents a change in form of indirect ownership only.
Shares are owned by BigBoy, LLC. Reporting person is the Manager of, and owns 50% of the membership interests in, BigBoy, LLC. Reporting person disclaims beneficial ownership of the shares owned by BigBoy, LLC, except to the extent of his pecuniary interest in such shares.
Consists of warrants that have been distributed by VLOC to BigBoy, LLC pursuant to a pro rata distribution to all of the members of VLOC. As the Manager of VLOC, reporting person had previously reported the aggregate number of warrants held by VLOC as indirectly owned by reporting person and disclaimed beneficial ownership of such warrants except to the extent of his pecuniary interest therein. While such distribution has resulted in reporting person now reporting fewer warrants, it has not changed his pecuniary interest in the warrants previously held by VLOC and represents a change in form of indirect ownership only.
Warrants are held by BigBoy, LLC. Reporting person is the Manager of, and owns 50% of the membership interests in, BigBoy, LLC. Reporting person disclaims beneficial ownership of the warrants held by BigBoy, LLC, except to the extent of his pecuniary interest therein.
/s/Jeffrey B. Coyne, as attorney-in-fact for reporting person
2018-03-19