SD

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM SD

 

 

SPECIALIZED DISCLOSURE REPORT

 

 

Ambarella, Inc.

(Exact name of the registrant as specified in its charter)

 

 

 

Cayman Islands   001-35667   98-0459628

(State or other jurisdiction of

incorporation or organization)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

 

3101 Jay Street, Santa Clara, California   95054
(Address of principal executive offices)   (Zip code)

Michael Morehead, General Counsel (408) 734-8888

(Name and telephone number, including area code, of the person to contact in connection with this report.)

 

 

Check the appropriate box to indicate the rule pursuant to which this form is being filed and provide the period to which the information in this form applies:

 

x Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2014.

 

 

 


INFORMATION TO BE INCLUDED IN THE REPORT

Section 1 — Conflict Minerals Disclosure

 

ITEM 1.01 – Conflicts Minerals Disclosure and Report

Conflict Minerals Disclosure

The Conflict Minerals Report of Ambarella, Inc., a Cayman Islands corporation, for the calendar year ended December 31, 2014 is filed herewith as Exhibit 1.01 and is available at: http://investor.ambarella.com/sec.cfm.

 

ITEM 1.02 – Exhibits

The Conflict Minerals Report for the calendar year ended December 31, 2014 is filed as Exhibit 1.01.

Section 2 — Exhibits

Item 2.01 Exhibits

 

Exhibit

No.

  

Description

1.01    Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.

 

AMBARELLA, INC.

Date: June 1, 2015

By:

            /s/ Michael Morehead

                 Michael Morehead
                   General Counsel
EX-1.01

Exhibit 1.01

Conflict Minerals Report of Ambarella, Inc.

in Accordance with Rule 13p-1 under the Securities Exchange Act of 1934

This is the Conflict Minerals Report for Ambarella, Inc. (“Ambarella”, “we” , “us” or “our”), filed with the Securities Exchange Commission (SEC) in accordance with Rule 13p-1 (the “Rule”) under the Securities Exchange Act of 1934 (the “1934 Act”) for calendar year 2014. The Rule was adopted by the SEC to implement reporting and disclosure requirements related to conflict minerals as directed by the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (Dodd-Frank Act). The rule imposes certain reporting obligations on SEC registrants whose manufactured products contain conflict minerals that are necessary to the functionality or production of their products. “Conflict minerals” are defined as cassiterite, columbite-tantalite, gold, wolframite, and their derivatives, which are limited to tin, tantalum, tungsten, and gold (3TG) for the purposes of this assessment.

Consistent with the provisions of Rule 13p-1, neither this specialized disclosure report nor our Reasonable Country of Origin Inquiry described herein has been audited by a third party.

 

1. Company Overview; Products

Ambarella was incorporated in the Cayman Islands in 2004. Ambarella designs, markets and sells low-power, high-definition (HD) video compression and image processing semiconductor solutions. Ambarella’s system-on-a-chip (SoC) solutions are used in a variety of HD cameras, including Internet Protocol, or IP, security cameras, wearable sports cameras, unmanned aerial video, or UAV, cameras, and automotive video camera recorders. In addition, Ambarella’s video compression SoCs also are used in television broadcasting equipment. Ambarella’s ordinary shares have been listed on the NASDAQ Stock Market (symbol: AMBA) since the company’s initial public offering in October 2012.

Ambarella’s SoC solutions integrate HD video processing, image processing, audio processing and system functions onto a single semiconductor chip, delivering exceptional video and image quality, functionality and low power consumption. Ambarella sells its SoC solutions to manufacturers of video cameras and television broadcasting infrastructure equipment. Ambarella’s primary camera markets are for wearable sports cameras, IP security cameras, automotive aftermarket cameras and UAV cameras.

During the 2014 calendar year, we sub-contracted to manufacture products containing 3TG minerals and that the use of these minerals is necessary to the functionality or production of our products.

 

2. Supply Chain Overview

We operate our business based on a fabless semiconductor model. Accordingly, we rely on third parties located in Asia for substantially all of our manufacturing operations, including wafer fabrication, assembly and testing of our products. There are multiple tiers between our company and the mines that produce conflict minerals. Accordingly, we rely on our direct suppliers to provide information on the origin of the conflict minerals that are included in our products.

 

3. Due Diligence Program

Our due diligence processes and efforts have been developed in conjunction with the second edition of the Organisation for Economic Co-operation and Development (OECD) Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas and the related supplements for gold and for tin, tantalum and tungsten. We designed our due diligence process to conform in all material respects with these OECD guidelines. Ambarella’s due diligence measures included:


    Identification of the components in Ambarella products that contain conflict minerals, and the suppliers through which those components are sourced.

 

    Conducting a supply-chain survey with direct suppliers of materials containing conflict minerals using the using the standard Conflict Minerals Reporting Template designed by the Electronic Industry Citizenship Coalition (EICC) and the Global e-Sustainability Initiative (GeSI).

 

    Comparing the smelters and refiners identified in the supply-chain survey against the list of smelter facilities which have been identified as “conflict free” by programs such as the EICC/GeSI Conflict Free Smelter (CFS) program for tantalum, tin, tungsten and gold.

Our conflict minerals project team responsible for conducting the due diligence is comprised of employees in our operations department, which is responsible for selecting, and retaining relationships with, our third-party vendors. Our due diligence process is overseen by executives from our operations and legal functions.

We have retained all relevant documentation from our RCOI documentation to ensure the retention of relevant documentation in a structured electronic database.

 

4. Reasonable Country of Origin Inquiry (RCOI) and RCOI Results

We conducted a survey of our active suppliers using a template developed by the Electronic Industry Citizenship Coalition (EICC) and the Global e-Sustainability Initiative (GeSI), known as the Conflict Minerals Reporting Template. The template was developed to facilitate disclosure and communication of information regarding smelters that provide material to a company’s supply chain. It includes questions regarding a company’s conflict-free policy, engagement with its direct suppliers, and a listing of the smelters the company and its suppliers use. In addition, the template contains questions about the origin of conflict minerals included in their products, as well as supplier due diligence. This template is being widely adopted by many companies in their due diligence processes related to conflict minerals.

During the process of our review, we identified our high-risk direct suppliers who fell within the scope of our RCOI. We sent the Conflict Minerals Reporting Template to these direct suppliers and received responses from each of them. As a result of this survey, 47 smelters and refineries were identified by our supply chain, all of which are identified as CFSI’s known smelters and refineries. Based on the responses, 75% of our suppliers do source some conflict minerals from the covered countries. With the exception of one supplier, all of the smelters and refiners identified by our suppliers as sourcing from covered countries are listed on the CFSI Conflict Free Smelter List. One of our suppliers identified a tungsten smelter that is active in the CFSI Conflict Free Smelter Program but has not yet completed the certification process.

All of the smelters and refiners identified by our suppliers are listed below.

 

5. Audit of Supply Chain Due Diligence

We do not have a direct relationship with 3TG smelters and refiners, nor do we perform direct audits of the other entities in our supply chain. However, we do rely upon industry efforts to influence smelters and refineries to participate in the EICC/GeSI Conflict-Free Smelter Program.

 

6. Improvement Efforts to Mitigate Risk

We intend to undertake the following next steps to improve the due diligence process and to gather additional information that will assist us to determine whether the conflict minerals we utilize benefit armed groups contributing to human rights violations:


    continue to conduct and report annually on supply chain due diligence for the applicable conflict minerals;

 

    attempt to validate supplier responses using information collected via independent conflict free smelter validation programs such as the Electronic Industry Citizenship Coalition / Global e-Sustainability Initiative (EICC/GeSI) Conflict Free Smelter Program;

 

    encourage direct suppliers to purchase components or other materials included in components used in Ambarella products from smelters that have obtained a “conflict-free” designation from an independent, third-party audit program; and

 

    examine the possibility of establishing new terms and conditions in supplier contracts that stipulate responses to conflict mineral related inquire.

 

7. Facilities Used to Process Conflict Materials

The following list represents the smelters and refiners provided by our suppliers, verified against the CFSI known smelters and refiners.

List of Facilities

 

Metal

  

Name of Smelter or Refinery

  

Smelter/Refinery Location

Gold    Heraeus Ltd. Hong Kong    HONG KONG
Gold    Western Australian Mint trading as The Perth Mint    AUSTRALIA
Gold    Tanaka Kikinzoku Kogyo K.K.    JAPAN
Gold    Metalor Technologies SA    SWITZERLAND
Gold    Argor-Heraeus SA    SWITZERLAND
Gold    Asahi Pretec Corporation    JAPAN
Gold    Materion    UNITED STATES
Gold    Mitsubishi Materials Corporation    JAPAN
Gold    Royal Canadian Mint    CANADA
Gold    SEMPSA Joyería Platería SA    SPAIN
Gold    Shandong Zhaojin Gold & Silver Refinery Co. Ltd    CHINA
Tantalum    H.C. Starck GmbH Goslar    GERMANY
Tantalum    H.C. Starck GmbH Laufenburg    GERMANY
Tantalum    H.C. Starck Co., Ltd.    THAILAND
Tantalum    H.C. Starck Hermsdorf GmbH    GERMANY
Tantalum    H.C. Starck Inc.    UNITED STATES
Tantalum    H.C. Starck Ltd.    JAPAN
Tantalum    H.C. Starck Smelting GmbH & Co.KG    GERMANY
Tantalum    Ningxia Orient Tantalum Industry Co., Ltd.    CHINA
Tantalum    Global Advanced Metals Boyertown    UNITED STATES
Tantalum    Ulba    KAZAKHSTAN
Tantalum    F&X Electro-Materials Ltd.    CHINA
Tantalum    Solikamsk Magnesium Works OAO    RUSSIAN FEDERATION
Tin    CV United Smelting    INDONESIA
Tin    Malaysia Smelting Corporation (MSC)    MALAYSIA
Tin    Metallo Chimique    BELGIUM
Tin    Mineração Taboca S.A.    BRAZIL


Tin Minsur PERU
Tin OMSA BOLIVIA
Tin PT Bangka Putra Karya INDONESIA
Tin PT Bukit Timah INDONESIA
Tin PT Stanindo Inti Perkasa INDONESIA
Tin PT Timah INDONESIA
Tin Thaisarco THAILAND
Tin PT Bangka Tin Industry INDONESIA
Tin Yunnan Tin Company, Ltd. CHINA
Tin Alpha UNITED STATES
Tin PT Tambang Timah INDONESIA
Tin PT Timah (Persero), Tbk INDONESIA
Tin White Solder Metalurgia e Mineração Ltda. BRAZIL
Tungsten Xiamen Tungsten Co., Ltd CHINA
Tungsten Xiamen Tungsten (H.C.) Co., Ltd. CHINA
Tungsten Ganzhou Huaxin Tungsten Products CHINA
Tungsten Ganzhou Seadragon W & Mo Co., Ltd. CHINA
Tungsten Hunan Chunchang Nonferrous Metals Co., Ltd. CHINA
Tungsten Chongyi Zhangyuan Tungsten Co Ltd CHINA
Tungsten Global Tungsten & Powders Corp. UNITED STATES