Form: 3

Initial statement of beneficial ownership of securities

May 19, 2017

Documents

SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF 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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1. Name and Address of Reporting Person*
Gehl Jeff Patrick
(Last) (First) (Middle)
C/O VERITONE, INC.
3366 VIA LIDO
(Street)
NEWPORT BEACH CA 92663
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/17/2017 		3. Issuer Name and Ticker or Trading Symbol
Veritone, Inc. [ VERI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 10,000 D
Common Stock 150,000(1) I By Veritone LOC I, LLC(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Bridge Common Stock Purchase Warrant (Right to Buy) 03/24/2017 03/24/2027 Common Stock 39,180 13.6088 I By Veritone LOC I, LLC(1)
Bridge Common Stock Purchase Warrant (Right to Buy) 04/17/2017 04/17/2027 Common Stock 39,180 13.6088 I By Veritone LOC I, LLC(1)
Bridge Common Stock Purchase Warrant (Right to Buy) 05/11/2017 05/11/2027 Common Stock 39,180 13.6088 I By Veritone LOC I, LLC(1)
Bridge Common Stock Purchase Warrant (Right to Buy) 05/11/2017 05/11/2027 Common Stock 39,180 13.6088 I By Veritone LOC I, LLC(1)
Explanation of Responses:
1. Mr. Gehl is the Manager of Veritone LOC I, LLC, which is the record holder of the shares. Mr. Gehl is also the Manager of Big Boy LLC, which is one of the members of Veritone LOC I, LLC, but Mr. Gehl only owns 50% of the membership interests in Big Boy LLC. Mr. Gehl disclaims beneficial ownership of the shares held by Veritone LOC I, LLC except to the extent of his pecuniary interest in such shares.
/s/ Ellen S. Bancroft, Attorney-in-Fact 05/19/2017
** Signature of Reporting Person Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 5 (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).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

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