0001593968-18-000809.txt : 20180518
0001593968-18-000809.hdr.sgml : 20180518
20180518203426
ACCESSION NUMBER: 0001593968-18-000809
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180517
FILED AS OF DATE: 20180518
DATE AS OF CHANGE: 20180518
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: 18848211
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
2018-05-17
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
2018-05-17
4
M
false
5000
A
15000
D
Common Stock
43184
I
By BigBoy, LLC
Common Stock
29400
I
By Trust
Restricted Stock Units
2018-05-17
4
M
false
5000
0
D
Common Stock
5000
0
D
Represents the automatic settlement upon vesting of restricted stock units that had been issued to reporting person on May 17, 2017.
The restricted stock units were converted into common stock on a one-for-one basis, and no purchase price was paid.
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.
Shares are held by reporting person, as trustee of his living trust.
Each restricted stock unit represents a right to receive one share of common stock.
The restricted stock units vested on May 17, 2018.
/s/Jeffrey B. Coyne, as attorney-in-fact for reporting person
2018-05-18