SEC Form SC 13G/A filed by C3.ai Inc. (Amendment)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
C3.ai, Inc.
(Name of Issuer)
Class A Common Stock, $0.001 par value per share
(Title of Class of Securities)
12468P 104
(CUSIP Number)
December 31, 2021
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ | Rule 13d-1(b) |
☐ | Rule 13d-1(c) |
☒ | Rule 13d-1(d) |
* | The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Thomas M. Siebel | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
28,997,721 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
48,812 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
29,046,533 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
29,046,533 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
23.2% of Common Stock (20.7% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
IN |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
The Siebel Living Trust u/a/d 7/27/93, as amended | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
5,547,990 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
0 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
5,547,990 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,547,990 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
5.23% of Common Stock (3.41% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
OO |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Siebel Asset Management, L.P. | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
170,294 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
0 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
170,294 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
170,294 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.16% of Common Stock (0.17% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
PN |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Siebel Asset Management III, L.P. | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
72,695 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
0 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
72,695 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
72,695 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.07% of Common Stock (0.07% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
PN |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
First Virtual Holdings, LLC | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
509,216 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
0 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
509,216 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
509,216 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.48% of Common Stock (0.01% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
OO |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
The Siebel 2011 Irrevocable Children’s Trust | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
1,237,115 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
0 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
1,237,115 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,237,115 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
1.17% of Common Stock (1.21% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
OO |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
The Siebel 2020 Annuity Trust I u/a/d 3/4/2020 | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
17,792 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
17,792 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,792 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.02% of Common Stock (0.00% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
OO |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
The Siebel 2020 Annuity Trust II u/a/d 3/4/2020 | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
17,792 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
17,792 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,792 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.02% of Common Stock (0.00% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
OO |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
The Siebel 2020 Annuity Trust III u/a/d 12/3/2020 | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
6,614 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
6,614 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
6,614 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.01% of Common Stock (0.00% of Class A Common Stock) (See Item 4 herein)0 | |||||
12 | TYPE OF REPORTING PERSON*
OO |
CUSIP No. 12468P 104 |
1 |
NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
The Siebel 2020 Annuity Trust IV u/a/d 12/3/2020 | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 (See Item 4 herein) | ||||
6 | SHARED VOTING POWER
6,614 (See Item 4 herein) | |||||
7 | SOLE DISPOSITIVE POWER
6,614 (See Item 4 herein) | |||||
8 | SHARED DISPOSITIVE POWER
0 (See Item 4 herein) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
6,614 (See Item 4 herein) | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.01% of Common Stock (0.00% of Class A Common Stock) (See Item 4 herein) | |||||
12 | TYPE OF REPORTING PERSON*
OO |
Item 1. | |
(a) | Name of Issuer |
C3.ai, Inc.
(b) | Address of Issuer’s Principal Executive Offices |
1300 Seaport Blvd, Suite 500
Redwood City, CA 94063
Item 2. | |
(a) | Name of Person Filing |
Thomas M. Siebel (“Thomas M. Siebel”)
Siebel Living Trust 1993 Revocable Trust (“Living Trust”)
Siebel Asset Management, L.P. (“SAM”)
Siebel Asset Management III, L.P. (“SAM III”)
First Virtual Holdings, LLC (“First Virtual”)
The Siebel 2011 Irrevocable Children’s Trust (“Children’s Trust”)
The Siebel 2020 Annuity Trust I u/a/d 3/4/2020 (“2020 AT I”)
The Siebel 2020 Annuity Trust II u/a/d 3/4/2020 (“2020 AT II”)
The Siebel 2020 Annuity Trust III u/a/d 12/3/2020 (“2020 AT III”)
The Siebel 2020 Annuity Trust IV u/a/d 12/3/2020 (“2020 AT IV”)
(b) | Address of Principal Business Office or, if none, Residence |
c/o C3.ai, Inc.
1300 Seaport Blvd, Suite 500
Redwood City, CA 94063
(c) | Citizenship |
Thomas M. Siebel |
California | |||
Living Trust |
California | |||
SAM |
California | |||
SAM III |
California | |||
First Virtual |
California | |||
Children’s Trust |
California | |||
2020 AT I |
California | |||
2020 AT II |
California | |||
2020 AT III |
California | |||
2020 AT IV |
California |
(d) | Title of Class of Securities |
Class A Common Stock, $0.001 par value per share
(e) | CUSIP Number |
12468P 104
Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: NOT APPLICABLE. |
(a) | ☐ | Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). | ||
(b) | ☐ | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). | ||
(c) | ☐ | Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). | ||
(d) | ☐ | Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8). | ||
(e) | ☐ | An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); | ||
(f) | ☐ | An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); | ||
(g) | ☐ | A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G); | ||
(h) | ☐ | A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | ||
(i) | ☐ | A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); | ||
(j) | ☐ | A non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J); | ||
(k) | ☐ | Group, in accordance with §240.13d-1(b)(1)(ii)(K). |
If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution:
Item 4. | Ownership. |
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
(a) | Amount beneficially owned: |
As of December 31, 2021: 3,099,978 shares of the Issuer’s Class B Common Stock and 25,946,555 shares of the Issuer’s Class A Common Stock, of which (a) 1,756,390 shares of Class A Common Stock were held by Mr. Siebel, (b) 2,051,166 shares of Class B Common Stock and 3,496,824 shares of Class A Common Stock were held by Living Trust, for which Mr. Siebel serves as trustee, (c) 170,294 shares of Class A Common Stock were held by SAM, for which Mr. Siebel serves as the general partner, (d) 72,695 shares of Class A Common Stock were held by SAM III, for which Mr. Siebel serves as the general partner, (e) 500,000 shares of Class B Common Stock and 9,216 shares of Class A Common Stock were held by First Virtual, for which Mr. Siebel serves as Chairman, (f) 1,237,115 shares of Class A Common Stock were held Children’s Trust of which Mr. Siebel is trustee, (g) 17,792 shares of Class B Common Stock were held by 2020 AT I, of which Mr. Siebel is trustee, (h) 17,792 shares of Class B Common Stock were held by 2020 AT II, , of which Mr. Siebel is trustee, (i) 6,614 shares of Class B Common Stock were held by 2020 AT III, of which Mr. Siebel is trustee, (j) 6,614 shares of Class B Common Stock were held by 2020 AT IV, of which Mr. Siebel
is trustee, (k) 500,000 shares of Class B Common Stock and 9,216 shares of Class A Common Stock were held by Patricia A. House, over which Mr. Siebel holds an irrevocable proxy pursuant to a voting agreement between Mr. Siebel and Ms. House, (l) 19,194,805 shares of Class A Common Stock that could be issued to Mr. Siebel in connection with the exercise of stock options within 60 days of December 31, 2021. The Class B Common Stock is convertible at the holder’s option into the Issuer’s Class A Common Stock on a 1-for-1 basis. The holders of Class B Common Stock are entitled to 50 votes per share and the holders of Class A Common Stock are entitled to one vote per share.
(b) | Percent of class: |
Based on (i) 102,506,670 shares of the Issuer’s Class A Common Stock issued and outstanding and (ii) 3,499,992 shares of the Issuer’s Class B Common Stock (together with the Class A Common Stock, the “Common Stock”) issued and outstanding, in each case, as of December 31, 2021, as reported by the Issuer, and the information set forth in (a) above:
(A) | Mr. Siebel beneficially owned 23.2% of the Issuer’s outstanding Common Stock, representing 61.0% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 20.7% of the Issuer’s outstanding Class A Common Stock; (treating only shares of Class A Common Stock beneficially owned by Mr. Siebel as converted for purposes of computing this percentage); |
(B) | Living Trust beneficially owned 5.23% of the Issuer’s outstanding Common Stock, representing 38.22% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 3.41% of the Issuer’s outstanding Class A Common Stock; |
(C) | SAM beneficially owned 0.16% of the Issuer’s outstanding Common Stock, representing 0.06% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 0.17% of the Issuer’s outstanding Class A Common Stock; |
(D) | SAM III beneficially owned 0.07% of the Issuer’s outstanding Common Stock, representing 0.03% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 0.07% of the Issuer’s outstanding Class A Common Stock; |
(E) | First Virtual beneficially owned 0.48% of the Issuer’s outstanding Common Stock, representing 9.01% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 0.01% of the Issuer’s outstanding Class A Common Stock; |
(F) | Children’s Trust beneficially owned 1.17% of the Issuer’s outstanding Common Stock, representing 0.45% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 1.21% of the Issuer’s outstanding Class A Common Stock; |
(G) | 2020 AT I beneficially owned 0.02% of the Issuer’s outstanding Common Stock, representing 0.32% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 0.00% of the Issuer’s outstanding Class A Common Stock; |
(H) | 2020 AT II beneficially owned 0.02% of the Issuer’s outstanding Common Stock, representing 0.32% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 0.00% of the Issuer’s outstanding Class A Common Stock; |
(I) | 2020 AT III beneficially owned 0.01% of the Issuer’s outstanding Common Stock, representing 0.12% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 0.00% of the Issuer’s outstanding Class A Common Stock; and |
(J) | 2020 AT IV beneficially owned 0.1% of the Issuer’s outstanding Common Stock, representing 0.12% of the total voting power of the Issuer’s outstanding Common Stock, and beneficially owned 0.00% of the Issuer’s outstanding Class A Common Stock. |
(c) | Number of shares as to which the person has: |
Sole power to vote or to direct the vote:
Thomas M. Siebel |
20,190,060 | |||
Living Trust |
5,547,990 | |||
SAM |
170,294 | |||
SAM III |
72,695 | |||
First Virtual |
509,216 | |||
Children’s Trust |
1,237,115 | |||
2020 AT I |
0 | |||
2020 AT II |
0 | |||
2020 AT III |
0 | |||
2020 AT IV |
0 |
(ii) | Shared power to vote or to direct the vote: |
Thomas M. Siebel |
0 | |||
Living Trust |
0 | |||
SAM |
0 | |||
SAM III |
0 | |||
First Virtual |
0 | |||
Children’s Trust |
0 | |||
2020 AT I |
17,792 | |||
2020 AT II |
17,792 | |||
2020 AT III |
6,614 | |||
2020 AT IV |
6,614 |
(iii) | Sole power to dispose or to direct the disposition of: |
Thomas M. Siebel |
20,238,872 | |||
Living Trust |
5,547,990 | |||
SAM |
170,294 | |||
SAM III |
72,695 | |||
First Virtual |
509,216 | |||
Children’s Trust |
1,237,115 | |||
2020 AT I |
17,792 | |||
2020 AT II |
17,792 | |||
2020 AT III |
6,614 | |||
2020 AT IV |
6,614 |
(iv) | Shared power to dispose or to direct the disposition of: |
Thomas M. Siebel |
0 | |||
Living Trust |
0 | |||
SAM |
0 | |||
SAM III |
0 | |||
First Virtual |
0 | |||
Children’s Trust |
0 | |||
2020 AT I |
0 | |||
2020 AT II |
0 | |||
2020 AT III |
0 | |||
2020 AT IV |
0 |
Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d-3(d)(1).
Item 5. | Ownership of Five Percent or Less of a Class. |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ].
Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not Applicable
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. |
Not Applicable
Item 8. | Identification and Classification of Members of the Group. |
Not Applicable
Item 9. | Notice of Dissolution of Group. |
Not Applicable
Item 10. | Certification |
Not Applicable
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
February 11, 2022
Thomas M. Siebel |
/s/ Thomas M. Siebel |
The Siebel Living Trust u/a/d 7/27/93, as amended |
/s/ Thomas M. Siebel |
By: Thomas M. Siebel, Trustee of The Siebel Living Trust u/a/d 7/27/93, as amended |
Siebel Asset Management, L.P. |
/s/ Thomas M. Siebel |
By: Thomas M. Siebel, Trustee of The Siebel Living Trust u/a/d 7/27/93, as amended |
Its: General Partner |
Siebel Asset Management III, L.P. |
/s/ Thomas M. Siebel |
By: Thomas M. Siebel, Trustee of The Siebel Living Trust u/a/d 7/27/93, as amended |
Its: General Partner |
The Siebel 2011 Irrevocable Children’s Trust |
/s/ Thomas M. Siebel |
By: Thomas M. Siebel, Co-Trustee |
First Virtual Holdings, LLC |
/s/ Thomas M. Siebel |
By: Thomas M. Siebel, Chairman |
The Siebel 2020 Annuity Trust I u/a/d 3/4/2020 |
/s/ Eric C. Jensen |
By: Eric C. Jensen, Special Trustee of The Siebel 2020 Annuity Trust I u/a/d 3/4/2020 |
The Siebel 2020 Annuity Trust II u/a/d 3/4/2020 |
/s/ Eric C. Jensen |
By: Eric C. Jensen, Special Trustee of The Siebel 2020 Annuity Trust II u/a/d 3/4/2020 |
The Siebel 2020 Annuity Trust III u/a/d 12/3/2020 |
Eric C. Jensen |
By: Eric C. Jensen, Special Trustee of The Siebel 2020 Annuity Trust III u/a/d 12/3/2020 |
The Siebel 2020 Annuity Trust IV u/a/d 12/3/2020 |
/s/ Eric C. Jensen |
By: Eric C. Jensen, Special Trustee of The Siebel 2020 Annuity Trust IV u/a/d 12/3/2020 |