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   (Commission   (IRS Employer
incorporation or organization)   File Number)   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, 2015.

 

 

 


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, 2015 is filed herewith as Exhibit 1.01 and is available at: http://investor.ambarella.com/sec.cfm. The website and information accessible through it are not incorporated into this document.

 

ITEM 1.02 – Exhibits

The Conflict Minerals Report for the calendar year ended December 31, 2015 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: May 31, 2016

   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 2015. 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 2015 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. We believe this template is widely used by companies in our industry for the purpose of conducting due diligence 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. Based on the responses, all 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 two smelters that are active in the CFSI Conflict Free Smelter Program but have not yet completed the certification process.

As indicated above, we relied heavily on our suppliers to provide the necessary sourcing information, which may be inaccurate or incomplete. As a downstream purchaser of materials and components that contain conflict minerals, our due diligence measures cannot yet provide complete assurance regarding the source and chain of custody of the conflict minerals in our Covered Products.

 

5. Audit of Supply Chain Due Diligence

As noted above, as a fabless semiconductor company we do not have a direct relationship with 3TG smelters and refiners, and we did not 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. We did not engage a third-party auditor to audit our due diligence procedures or the results of our due diligence.

 

6. Improvement Efforts to Mitigate Risk

Specific steps we have taken and continue to take to manage risks include:

 

    update our Conflict Minerals Policy and internal processes, as needed to improve transparency and communication with suppliers and to collect better date on our supply chain;


    continuing to engage with manufacturers and suppliers to obtain current, accurate and complete information about our supply chain; and

 

    continuing to improve due diligence efforts to ensure responsible sourcing in compliance with our Conflict Minerals Policy.

 

7. Facilities Used to Process Conflict Materials

The following list represents the smelters and refiners identified 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

   Metalor Technologies (Hong Kong) Ltd.    CHINA

Gold

   Metalor USA Refining Corporation    UNITED STATES

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

Gold

   Aida Chemical Industries Co., Ltd.    JAPAN

Gold

   Asaka Riken Co., Ltd.    JAPAN

Gold

   Aurubis AG    GERMANY

Gold

   DSC (Do Sung Corporation)    KOREA, REPUBLIC OF

Gold

   Dowa    JAPAN

Gold

   Ishifuku Metal Industry Co., Ltd.    JAPAN

Gold

   Asahi Refining USA Inc.    UNITED STATES

Gold

   Asahi Refining Canada Limited    CANADA

Gold

   JX Nippon Mining & Metals Co., Ltd.    JAPAN

Gold

   Kojima Chemicals Co., Ltd.    JAPAN

Gold

   LS-NIKKO Copper Inc.    KOREA, REPUBLIC OF

Gold

   Matsuda Sangyo Co., Ltd.    JAPAN

Gold

   Mitsui Mining and Smelting Co., Ltd.    JAPAN

Gold

   Nihon Material Co., Ltd.    JAPAN

Gold

   PAMP SA    SWITZERLAND

Gold

   Solar Applied Materials Technology Corp.    TAIWAN

Gold

   Sumitomo Metal Mining Co., Ltd.    JAPAN

Gold

   Tokuriki Honten Co., Ltd.    JAPAN


Gold    Umicore SA Business Unit Precious Metals Refining    BELGIUM
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 Metallurgical    KAZAKHSTAN
Tantalum    F&X Electro-Materials Ltd.    CHINA
Tantalum    Solikamsk Magnesium Works OAO    RUSSIAN FEDERATION
Tantalum    Mitsui Mining & Smelting    JAPAN
Tantalum    Taki Chemicals    JAPAN
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    Operaciones Metalurgical S.A.    BOLIVIA
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 Timah (Persero), Tbk    INDONESIA
Tin    White Solder Metalurgia e Mineração Ltda.    BRAZIL
Tin    Cooperativa Metalurgica de Rondônia Ltda.    BRAZIL
Tin    PT Aries Kencana Sejahtera    INDONESIA
Tin    CV Serumpun Sebalai    INDONESIA
Tin    EM Vinto    BOLIVIA
Tin    Fenix Metals    POLAND
Tin    Gejiu Non-Ferrous Metal Processing Co., Ltd.    CHINA
Tin    China Tin Group Co., Ltd.    CHINA
Tin    Mitsubishi Materials Corporation    JAPAN
Tin    PT Artha Cipta Langgeng    INDONESIA
Tin    PT Babel Inti Perkasa    INDONESIA
Tin    PT Belitung Industri Sejahtera    INDONESIA
Tin    PT DS Jaya Abadi    INDONESIA
Tin    PT Eunindo Usaha Mandiri    INDONESIA
Tin    PT Mitra Stania Prima    INDONESIA
Tin    PT Panca Mega Persada    INDONESIA


Tin    PT Refined Bangka Tin    INDONESIA
Tin    PT Sariwiguna Binasentosa    INDONESIA
Tin    PT Tinindo Inter Nusa    INDONESIA
Tin    Yunnan Chengfeng Non-ferrous Metals Co., Ltd.    CHINA
Tin    Magnu’s Minerais Metais e Ligas Ltda.    BRAZIL
Tin    PT ATD Makmur Mandiri Jaya    INDONESIA
Tin    PT Inti Stania Prima    INDONESIA
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
Tungsten    Japan New Metals Co., Ltd.    JAPAN