0001209191-23-060013.txt : 20231229
0001209191-23-060013.hdr.sgml : 20231229
20231229165809
ACCESSION NUMBER: 0001209191-23-060013
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231227
FILED AS OF DATE: 20231229
DATE AS OF CHANGE: 20231229
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Davis Lisa Ann
CENTRAL INDEX KEY: 0001706496
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39744
FILM NUMBER: 231528356
MAIL ADDRESS:
STREET 1: 2555 TELEGRAPH RD
CITY: BLOOMFIELD HILLS
STATE: MI
ZIP: 48302
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: C3.ai, Inc.
CENTRAL INDEX KEY: 0001577526
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 263999357
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0430
BUSINESS ADDRESS:
STREET 1: 1400 SEAPORT BLVD
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
BUSINESS PHONE: 650-503-2200
MAIL ADDRESS:
STREET 1: 1400 SEAPORT BLVD
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
FORMER COMPANY:
FORMER CONFORMED NAME: C3 IoT, Inc.
DATE OF NAME CHANGE: 20180123
FORMER COMPANY:
FORMER CONFORMED NAME: C3, Inc.
DATE OF NAME CHANGE: 20130522
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-12-27
0
0001577526
C3.ai, Inc.
AI
0001706496
Davis Lisa Ann
C/O C3.AI, INC.
1400 SEAPORT BLVD
REDWOOD CITY
CA
94063
1
0
0
0
0
Class A Common Stock
2023-12-27
4
M
0
2000
13.49
A
27945
D
Class A Common Stock
2023-12-27
4
F
0
915
29.975
D
27030
D
Stock Option (Right to Buy)
13.49
2023-12-27
4
M
0
2000
0.00
D
2032-10-04
Class A Common Stock
2000
48349
D
Provided the Reporting Person remains a director of the Company and attends in person the regularly scheduled meeting of the Board during each fiscal quarter, commencing on October 5, 2022 (the "Vesting Commencement Date"), then 5% of the shares subject to the option shall vest on the last day of such fiscal quarter (the "Quarterly Shares") during the term of the option, provided, however, if the Reporting Person fails to attend any such regularly scheduled meeting, then vesting for the Quarterly Shares shall not occur and will be suspended (any such suspended Quarterly Shares being referred to collectively as the "Suspended Shares"). For any Suspended Shares, such shares shall vest only following the fifth anniversary of the applicable Vesting Commencement Date, if the Reporting Person satisfies the attendance requirements in subsequent periods.
/s/ Eric Jensen, Attorney-in-Fact
2023-12-29