SEC Form 4 · accession 0001209191-17-059878
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lawrence Blasko
Officer — Chief Revenue Officer
Period of report
Nov 6, 2017
Accepted (ET)
Nov 8, 2017 · 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 StockF2 | Nov 6, 2017 | C | 45,000 | $0.00 | A | 104,510 | D | |
| Class A Common StockF4,F5 | Nov 6, 2017 | S | 35,144 | $21.657 | D | 69,366 | D | |
| Class A Common StockF6,F7 | Nov 6, 2017 | S | 9,856 | $22.5059 | D | 59,510 | 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)F8 | $0.72 | Nov 6, 2017 | M | 45,000 | D | — | Sep 16, 2019 | Class B Common Stock | 45,000 | 167,000 | D |
| Class B Common StockF9 | — | Nov 6, 2017 | M | 45,000 | A | — | — | Class A Common Stock | 45,000 | 45,000 | D |
| Class B Common StockF9 | — | Nov 6, 2017 | C | 45,000 | D | — | — | Class A Common Stock | 45,000 | 0 | D |
Explanation of responses
- F1Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the reporting person.
- F2Includes 59,400 RSUs that represent contingent rights to receive 59,400 shares of the Issuer's Class A Common Stock upon settlement and 45,110 shares of Class A Common Stock of which 110 shares of Class A Common Stock were purchased by the reporting person under the Issuer's employee stock purchase plan at a purchase price of $13.60 per share on May 31, 2017.
- F3The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 23, 2017.
- F4The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $21.17 to $22.12. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (4) and (6) to this Form 4.
- F5Includes 59,400 RSUs that represent contingent rights to receive 59,400 shares of the Issuer's Class A Common Stock upon settlement and 9,966 shares of Class A Common Stock.
- F6The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $22.21 to $22.84.
- F7Includes 59,400 RSUs that represent contingent rights to receive 59,400 shares of the Issuer's Class A Common Stock upon settlement and 110 shares of Class A Common Stock.
- F8The option became fully vested and exercisable on September 14, 2013.
- F9Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a one-for-one basis and has no expiration date.