SEC Form 4 · accession 0000899243-19-001075
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Matthew S McIlwain
Director
Period of report
Jan 10, 2019
Accepted (ET)
Jan 11, 2019 · 9:30 pm EST
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 Stock | Dec 13, 2018 | G | 3,600 | $0.00 | D | 58,584 | D | |
| Class A Common Stock | Dec 21, 2018 | G | 3,000 | $0.00 | D | 55,584 | D | |
| Class A Common Stock | Dec 21, 2018 | G | 14,971 | $0.00 | D | 40,613 | D | |
| Class A Common StockF1,F2 | Jan 10, 2019 | D | 23,916 | — | D | 0 | I | See Footnote |
| Class A Common StockF3,F1 | Jan 10, 2019 | D | 40,613 | — | D | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F4,F5,F6 | $14.31 | Jan 10, 2019 | D | 30,000 | D | — | Nov 5, 2025 | Common Stock | 30,000 | 0 | D |
Explanation of responses
- F1Disposed of pursuant to the merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement") in exchange for a cash payment of $38.00 per share.
- F2Shares held by the McIlwain Family GST Trust.
- F3Includes 4,652 restricted stock units which vested solely as a result of the consummation of the Merger Agreement, which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share.
- F4Includes 7,545 options which vested solely as a result of the consummation of the Merger Agreement, which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes.
- F5Includes 22,455 vested options which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes.
- F61/3rd of the shares subject to the option shall become vested on September 29, 2017 and 1/36th of the shares subject to the option shall vest monthly thereafter for the next 24 months. The option is subject to an early exercise right and may be exercised in full prior to the vesting of the shares underlying the option, subject to the issuer's right of repurchase.