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