SEC Form 3
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
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1. Name and Address of Reporting Person*
Mattingly Gordon

(Last) (First) (Middle)
C/O ARLO TECHNOLOGIES, INC.
3030 ORCHARD PARKWAY

(Street)
SAN JOSE CA 95134

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/15/2020
3. Issuer Name and Ticker or Trading Symbol
Arlo Technologies, Inc. [ ARLO ]
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
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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)
Common Stock 510,466 D
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
Employee Stock Option (Right to Buy) (1) 08/02/2028 Common Stock 41,000 $16 D
Performance Restricted Stock Units (PSUs) (2) (2) Common Stock 137,528 $0.00 D
Performance Restricted Stock Units (PSUs) (3) (3) Common Stock 137,528 $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.
Remarks:
/s/ Brian Busse, Attorney-in-Fact 06/24/2020
** 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.
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