4: Statement of changes in beneficial ownership of securities
Published on June 22, 2022
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (right to buy) | $ 6.15 | 06/17/2022 | A | 6,023 | (4) | 06/17/2032 | Common Stock | 6,023 | $ 0 | 6,023 | D |
Reporting Owners
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Gehl Jeff Patrick C/O VERITONE, INC. 2420 17TH ST., OFFICE 3002 DENVER, CO 80202 |
X |
Signatures
/s/ Craig Gatarz, as Attorney-in-Fact for Jeff Patrick Gehl | 06/22/2022 | |
**Signature of Reporting Person | Date |
Explanation of Responses:
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Consists of restricted stock units representing the right to receive upon vesting a total of 12,196 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 17, 2023, and (ii) the day immediately preceding the date of the issuer's 2023 annual meeting of stockholders. |
(2) | Shares are held by reporting person, as trustee of his living trust. |
(3) | 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. |
(4) | 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 17, 2023, and (ii) the day immediately preceding the date of the issuer's 2023 annual meeting of stockholders. |
Remarks: Exhibit List: Exhibit 24.1 - Power of Attorney |