0000899243-17-029318.txt : 20171220
0000899243-17-029318.hdr.sgml : 20171220
20171220161019
ACCESSION NUMBER: 0000899243-17-029318
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171218
FILED AS OF DATE: 20171220
DATE AS OF CHANGE: 20171220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VERHALEN ANDREW W
CENTRAL INDEX KEY: 0001205979
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35667
FILM NUMBER: 171266871
MAIL ADDRESS:
STREET 1: C/O MATRIX PARTNERS
STREET 2: 250 HOMER AVE SUITE 201
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMBARELLA INC
CENTRAL INDEX KEY: 0001280263
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 980459628
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 3101 JAY STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: 408-734-8888
MAIL ADDRESS:
STREET 1: 3101 JAY STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-12-18
0
0001280263
AMBARELLA INC
AMBA
0001205979
VERHALEN ANDREW W
260 HOMER AVENUE, SUITE 201
PALO ALTO
CA
94301
1
0
0
0
Ordinary Shares
2017-12-18
4
M
0
1231
A
54129
D
Ordinary Shares
850
I
By Nicole Brownstone Verhalen 1997 Trust
Ordinary Shares
850
I
By Sara Rose Verhalen 1997 Trust
Restricted Stock Units
2017-12-18
4
M
0
1231
0.00
D
Ordinary Shares
1231
3695
D
Each restricted stock unit represents a contingent right to receive one share of Ambarella, Inc. Ordinary Shares.
Of the total of 4,926 shares granted, the restricted stock units vest as to 1/4th of the restricted stock units each three months following the vesting start date of September 15, 2017, so as to be 100% vested on September 15, 2018.
/s/ Michael Morehead by Power of Attorney
2017-12-20