Initial Statement of Beneficial Ownership (3)
June 24 2020 - 4:01PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Mattingly Gordon |
2. Date of Event Requiring Statement (MM/DD/YYYY)
6/15/2020
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3. Issuer Name and Ticker or Trading Symbol
Arlo Technologies, Inc. [ARLO]
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(Last)
(First)
(Middle)
C/O ARLO TECHNOLOGIES, INC., 3030 ORCHARD PARKWAY |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Chief Financial Officer / |
(Street)
SAN JOSE, CA 95134
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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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) |
Common Stock | 510466 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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 |
Employee Stock Option (Right to Buy) | (1) | 8/2/2028 | Common Stock | 41000 | $16.00 | D | |
Performance Restricted Stock Units (PSUs) | (2) | (2) | Common Stock | 137528 | $0.00 | D | |
Performance Restricted Stock Units (PSUs) | (3) | (3) | Common Stock | 137528 | $0.00 | D | |
Explanation of Responses: |
(1) | The option vests as follows: 25% of the shares vested on August 2, 2019, and the remaining shares vest in 36 equal monthly installments thereafter. |
(2) | Each PSU represents a contingent right to receive shares of the Issuer's common stock, based upon the achievement of certain financial milestones. Subject to the achievement of such milestones, each PSU will vest in three equal annual installments. The number of shares reported herein is a target number, however the actual number of shares issuable pursuant to the PSUs will not exceed 120% of the number of targeted shares. |
(3) | Each PSU represents a contingent right to receive shares of the Issuer's common stock, based upon total relative shareholder return during certain established performance periods over a period of three years. The number of shares reported herein is a target number, however the actual number of shares issuable pursuant to the PSUs will not exceed 200% of the number of target shares. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Mattingly Gordon C/O ARLO TECHNOLOGIES, INC. 3030 ORCHARD PARKWAY SAN JOSE, CA 95134 |
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| Chief Financial Officer |
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Signatures
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/s/ Brian Busse, Attorney-in-Fact | | 6/24/2020 |
**Signature of Reporting Person | Date |
Arlo Technologies (NYSE:ARLO)
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