Exhibit 10.4

VERITONE, INC. 2018 PERFORMANCE-BASED STOCK INCENTIVE PLAN

FORM OF AWARD AGREEMENT

Notice is hereby given of the following Performance Option grant (the “Award”)
to purchase shares of the Common Stock of Veritone, Inc. (the “Corporation”)
under the Veritone, Inc. 2018 Performance-Based Stock Incentive Plan (the
“Plan”):

Participant: [NAME]

Grant Date: [DATE]

Exercise Price: $[##.##] per share

Number of Performance Option Shares: [#] shares of Common Stock

Scheduled Expiration Date: [DATE]

Type of Award: Performance Option

Exercisability: The Award shall become and remain exercisable as provided in the
Plan.

Forfeiture: The Award shall be forfeited as provided in the Plan.

Definitions: All capitalized terms not otherwise defined in this Award Agreement
shall have the meanings assigned to them in the Plan.

The Participant understands and agrees that the Award is granted subject to and
in accordance with the terms of the Plan. The Participant further agrees to be
bound by the terms of the Plan. A copy of the Plan, which is publicly filed, is
available upon request made to the Corporate Secretary at the Corporation’s
principal offices. This Award Agreement and the Plan constitute the entire
contract between the parties hereto with regard to the subject matter hereof.
This Award Agreement is made pursuant to the provisions of the Plan and shall in
all respects be construed in conformity with the terms of the Plan. The
Participant hereby agrees to take whatever additional action and execute
whatever additional documents the Corporation may deem necessary or advisable in
order to carry out or effect one or more of the obligations or restrictions
imposed on either the Participant or any Purchased Shares pursuant to the
provisions of the Plan.

 

VERITONE, INC.  

By:       

Name:      

Title:      

 

                          

  [NAME]