SEC Form 4 · accession 0000899243-16-030235
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sachin Gupta
Officer — See Remarks · Director · 10% Owner
Period of report
Sep 28, 2016
Accepted (ET)
Sep 28, 2016 · 4:31 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 | 36,429 | D | — | — | Class B Common Stock | 36,429 | 0 | D |
| Series B Preferred StockF1 | — | Sep 28, 2016 | C | 18,404 | D | — | — | Class B Common Stock | 18,404 | 0 | D |
| Class B Common StockF3,F2 | — | Sep 28, 2016 | C | 54,833 | A | — | — | Class A Common Stock | 54,833 | 3,844,833 | 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 1,500,000 shares held by PG GRAT of 2016.
Remarks
President and Chief Executive Officer