0001593968-21-001722.txt : 20210628 0001593968-21-001722.hdr.sgml : 20210628 20210628171858 ACCESSION NUMBER: 0001593968-21-001722 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210624 FILED AS OF DATE: 20210628 DATE AS OF CHANGE: 20210628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Taketa Richard H CENTRAL INDEX KEY: 0001772375 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38093 FILM NUMBER: 211054550 MAIL ADDRESS: STREET 1: 7979 IVANHOE AVENUE STREET 2: SUITE 500 CITY: LA JOLLA STATE: CA ZIP: 92037 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 2021-06-24 0001615165 Veritone, Inc. VERI 0001772375 Taketa Richard H C/O VERITONE, INC. 1515 ARAPAHOE ST., TOWER 3, STE. 400 DENVER CO 80202 true false false false Common Stock 2021-06-24 4 A false 3575 0 A 29869 D Common Stock 40979 I Held in family trust Stock Option (right to buy) 20.98 2021-06-24 4 A false 2117 0 A 2031-06-24 Common Stock 2117 2117 D Consists of restricted stock units representing the right to receive upon vesting a total of 3,575 shares of the issuer's common stock, which have been granted to reporting person pursuant to the automatic grant provisions of the issuer's 2017 Stock Incentive Plan. All such restricted stock units will vest on the earlier of (i) June 24, 2022, and (ii) the day immediately preceding the date of the issuer's 2022 annual meeting of stockholders. Shares are held by reporting person and his spouse as trustees of a family trust. Stock option was granted to reporting person pursuant to the automatic grant provisions of the issuer's 2017 Stock Incentive Plan, and will vest on the earlier of (i) June 24, 2022, and (ii) the day immediately preceding the date of the issuer's 2022 annual meeting of stockholders. /s/ Richard H. Taketa 2021-06-28