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Veritone, Inc. Director's Dealing 2017

May 12, 2017

33837_dirs_2017-05-11_ac2c4b0d-ef52-4f55-8b24-c3e5a2d67785.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Veritone, Inc. (VERI)
CIK: 0001615165
Period of Report: 2017-05-11

Reporting Person: Steelberg Ryan (Director, President, 10% Owner)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 98140 Direct
Common Stock 961774 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series A Convertible Preferred Stock $2.9412 Common Stock (3205917) Indirect

Footnotes

F1: The reporting person beneficially owns 27,427 shares of Series A convertible preferred stock, which is convertible into common stock at any time at the election of the holder or automatically converts upon completion of the initial public offering with gross proceeds of at least $15 million on a one-for-one basis and has no expiration date. The number of underlying shares of common stock reported in Column 3 reflects a 1-for-.60 reverse stock split of the common stock effected in April 2017 as well as liquidation preferences accrued through May 11, 2017 (which preferences continue to accrue until the actual conversion of the Series A convertible preferred stock into common stock).