0000899243-21-045900.txt : 20211123 0000899243-21-045900.hdr.sgml : 20211123 20211123203049 ACCESSION NUMBER: 0000899243-21-045900 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211119 FILED AS OF DATE: 20211123 DATE AS OF CHANGE: 20211123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Steelberg Ryan CENTRAL INDEX KEY: 0001705446 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38093 FILM NUMBER: 211440781 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: 1515 ARAPAHOE ST. STREET 2: TOWER 3, SUITE 400 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 888-507-1737 MAIL ADDRESS: STREET 1: 1515 ARAPAHOE ST. STREET 2: TOWER 3, SUITE 400 CITY: DENVER STATE: CO ZIP: 80202 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-19 0 0001615165 Veritone, Inc. VERI 0001705446 Steelberg Ryan 2420 17TH STREET, OFFICE 3002 DENVER CO 80202 1 1 1 0 President Common Stock 2021-11-19 4 P 0 2763 28.4661 A 34860 I Held by Living Trust Common Stock 340055 D Common Stock 215921 I Held by Steel Veritone Fund I, LLC Common Stock 2003349 I Held by RVH, LLC Shares are held by reporting person as trustee of a living trust. Shares are held by Steel Veritone Fund I, LLC ("SVF"). The grantor trust of reporting person owns 50% of the membership interests in SVF and, as such, reporting person may be deemed a beneficial owner of such shares. Reporting person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein. Shares are held by RVH, LLC, a limited liability company. Reporting person is the sole manager and member of RVH, LLC. /s/ Ryan Steelberg 2021-11-23