FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 10/09/2012 |
3. Issuer Name and Ticker or Trading Symbol
AMBARELLA INC [ AMBA ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year) |
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Ordinary Shares | 1,244,444 | D | |
Ordinary Shares | 133,333 | I | By Acorn Hall Irreversible Trust(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (right to buy) | (2) | 07/10/2018 | Ordinary Shares | 111,111 | 2.93 | D | |
Stock Option (right to buy) | (3) | 10/29/2019 | Ordinary Shares | 111,110 | 6.62 | D | |
Stock Option (right to buy) | (4) | 11/03/2020 | Odinary Shares | 66,666 | 8.82 | D | |
Stock Option (right to buy) | (5) | 08/30/2021 | Ordinary Shares | 44,444 | 8.82 | D | |
Restricted Stock Units | (7) | (7) | Ordinary Shares | 16,667 | (6) | D |
Explanation of Responses: |
1. These shares are held in the name of a trust for the benefit of the reporting person's child. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. |
2. Shares subject to the option vest monthly over four years beginning on August 1, 2008. |
3. Shares subject to the option vest monthly over four years beginning on August 1, 2009. |
4. Shares subject to the option vest monthly over four years beginning on August 1, 2010. |
5. Shares subject to the option vest monthly over four years beginning on August 1, 2011. |
6. Each RSU represents a contingent right to receive one share of the Issuer's Ordinary Shares. |
7. The RSUs vest as to 1/16 of the RSUs each three months following 9/15/12; provided however, that the RSUs shall not vest at all until either the expiration of the lock-up period applicable in connection with the Company's S-1 Registration Statement or upon a change of control transaction, at which time the original vesting schedule shall apply. |
Michael Morehead, by Power of Attorney | 10/09/2012 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |