0001140361-17-020884.txt : 20170515 0001140361-17-020884.hdr.sgml : 20170515 20170515210109 ACCESSION NUMBER: 0001140361-17-020884 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170511 FILED AS OF DATE: 20170515 DATE AS OF CHANGE: 20170515 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: 3366 VIA LIDO CITY: NEWPORT BEACH STATE: CA ZIP: 92663 BUSINESS PHONE: 888-507-1737 MAIL ADDRESS: STREET 1: 3366 VIA LIDO CITY: NEWPORT BEACH STATE: CA ZIP: 92663 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Collins Peter F CENTRAL INDEX KEY: 0001219348 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38093 FILM NUMBER: 17846826 MAIL ADDRESS: STREET 1: C/O TRUE RELIGION APPAREL, INC. STREET 2: 2263 EAST VERNON AVENUE CITY: VERNON STATE: CA ZIP: 90058 FORMER NAME: FORMER CONFORMED NAME: COLLINS PETER F DATE OF NAME CHANGE: 20030220 4 1 doc1.xml FORM 4 X0306 4 2017-05-11 0 0001615165 Veritone, Inc. VERI 0001219348 Collins Peter F C/O VERITONE, INC. 3366 VIA LIDO NEWPORT BEACH CA 92663 0 1 0 0 Senior VP and CFO Stock Option (Right to Purchase) 15.00 2017-05-11 4 A 0 12000 0.00 A 2027-05-10 Common Stock 12000 12000 D 25% of the shares of common stock subject to the option will vest upon completion of 12 months of continuous service by the Reporting Person, and 1/48 of the shares subject to the option will vest for each full month of continuous service thereafter. /s/ Ellen S. Bancroft, Attorney-in-Fact 2017-05-15