SEC Form 4 · accession 0001209191-15-079361
QLIK TECHNOLOGIES INC · QLIK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lars Bjork
Officer — CEO and President · Director
Period of report
Aug 31, 2015
Accepted (ET)
Nov 10, 2015 · 5:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001305294
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 31, 2015 | G | 5,109 | $0.00 | D | 1 | I | By 2013 GRAT |
| Common StockF1 | Aug 31, 2015 | G | 5,109 | $0.00 | A | 28,823 | I | By 2012 GRAT |
| Common StockF2,F3 | Nov 7, 2015 | M | 1,850 | — | A | 872,055 | D | |
| Common StockF5 | Nov 9, 2015 | S | 858 | $32.1338 | D | 871,197 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF2,F6 | — | Nov 7, 2015 | M | 1,850 | D | — | — | Common Stock | 1,850 | 0 | D |
Explanation of responses
- F1The Reporting Person's spouse in the successor trustee of the trust. The Reporting Person disclaims beneficial ownership of these shares, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.
- F2Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock.
- F3On August 31, 2015, the Reporting Person's 2013 GRAT distributed 13,398.697 shares of the Company's Common Stock to the Reporting Person for no consideration to satisfy their annuity obligation (reflecting only a change in the nature of the Reporting Person's beneficial ownership).
- F4Shares were sold by the Reporting Person to cover tax withholding obligations in connection with the vesting and settlement of the RSUs.
- F5The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $32.13 to $32.1341, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (5) to this Form 4.
- F6The RSUs vest in four equal annual installments beginning November 7, 2012, provided that the Reporting Person remains continuously employed by the Issuer through each applicable vesting date. The vested shares will be delivered to the Reporting Person upon vesting. The RSUs have no expiration date.