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