SEC Form 4 · accession 0000899243-17-011447
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Greylock XII GP LLC
10% Owner
Greylock XII Limited Partnership
10% Owner
Greylock XII-A Limited Partnership
10% Owner
Period of report
Apr 28, 2017
Accepted (ET)
May 2, 2017 · 5:05 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001419625
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1,F2 | Apr 28, 2017 | S | 1,710,000 | $12.80 | D | 2,708,897 | I | By Greylock XII Limited Partnership |
| Class A Common StockF1,F3 | Apr 28, 2017 | S | 190,000 | $12.80 | D | 300,986 | I | By Greylock XII-A Limited Partnership |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On March 22, 2017, Greylock XII Limited Partnership ("Greylock XII LP") received 10,753 shares of the Issuer's Class A Common Stock and Greylock XII-A Limited Partnership ("Greylock XII-A LP") received 1,193 shares of the Issuer's Class A Common Stock in a pro rata distribution in kind from an unaffiliated venture capital fund in which each of Greylock XII LP and Greylock XII-A LP has a passive limited partner interest. Such pro rata distribution in kind was exempt from Section 16 of the Securities Exchange Act of 1934, as amended, pursuant to Rules 16a-13 and 16a-9 promulgated thereunder.
- F2The shares are held directly by Greylock XII Limited Partnership ("Greylock XII LP"). Greylock XII GP Limited Liability Company ("Greylock XII GP") is the sole General Partner of Greylock XII LP and may be deemed to share voting and dispositive power with respect to the shares held by Greylock XII LP. Greylock XII GP disclaims beneficial ownership of the securities held by Greylock XII LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XII GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
- F3The shares are held directly by Greylock XII-A Limited Partnership ("Greylock XII-A LP"). Greylock XII GP is the sole General Partner of Greylock XII-A LP and may be deemed to share voting and dispositive power with respect to the shares held by Greylock XII-A LP. Greylock XII GP disclaims beneficial ownership of the securities held by Greylock XII-A LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by Greylock XII GP of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.