SEC Form 4 · accession 0000899243-16-030231
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kurt Shintaffer
Officer — Chief Financial Officer
Period of report
Sep 28, 2016
Accepted (ET)
Sep 28, 2016 · 4:30 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001419625
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF1 | — | Sep 28, 2016 | C | 14,573 | D | — | — | Class B Common Stock | 14,573 | 0 | D |
| Series B Preferred StockF1 | — | Sep 28, 2016 | C | 11,042 | D | — | — | Class B Common Stock | 11,042 | 0 | D |
| Class B Common StockF3,F2 | — | Sep 28, 2016 | C | 25,615 | A | — | — | Class A Common Stock | 25,615 | 957,877 | D |
Explanation of responses
- F1The Preferred Stock automatically converted into the issuer's Class B Common Stock on a 1-for-1 basis immediately prior to the closing of the issuer's initial public offering and had no expiration date.
- F2Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a 1-for-1 basis and has no expiration date.
- F3This total does not include the 87,738 shares held by KCS 2012 GRAT, the 87,738 shares held by KDS 2012 GRAT, or the 12,262 shares held by the Reporting Person's spouse.