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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 06/15/2020 |
3. Issuer Name and Ticker or Trading Symbol
Arlo Technologies, Inc. [ ARLO ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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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 | 510,466 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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. | ||
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. |