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