SEC Form 4 · accession 0000899243-19-001082
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Rebecca Jacoby
Director
Period of report
Jan 10, 2019
Accepted (ET)
Jan 11, 2019 · 9:34 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 StockF1,F2 | Jan 10, 2019 | D | 8,221 | — | 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)F3,F4 | $0.86 | Jan 10, 2019 | D | 20,000 | D | — | Feb 11, 2020 | Common Stock | 20,000 | 0 | D |
Explanation of responses
- F1Consists of restricted stock units which vested solely as a result of the consummation of the merger agreement Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement"), which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share.
- F2Disposed of pursuant to the Merger Agreement between in exchange for a cash payment of $38.00 per share.
- F3Consists of vested options, which as of the consummation of the Merger Agreement were cancelled and automatically converted into the right to received $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes.
- F41/24th of the shares subject to the option became vested and exercisable on November 17, 2009 and 1/24th of the shares subject to the option vested monthly thereafter. The option became fully vested and exercisable on November 17, 2011.