SEC Form 4 · accession 0001209191-17-067121
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kurt Shintaffer
Officer — Chief Financial Officer
Period of report
Dec 21, 2017
Accepted (ET)
Dec 22, 2017 · 5:22 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 | Dec 21, 2017 | C | 10,000 | $0.00 | A | 56,577 | D | |
| Class A Common StockF3 | Dec 21, 2017 | G | 10,000 | $0.00 | D | 46,577 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF4 | $0.00 | Dec 21, 2017 | C | 10,000 | D | — | — | Class A Common Stock | 10,000 | 889,146 | 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 46,200 RSUs that represent contingent rights to receive 46,200 shares of the Issuer's Class A Common Stock upon settlement and 10,377 shares of Class A Common Stock.
- F3Includes 46,200 RSUs that represent contingent rights to receive 46,200 shares of the Issuer's Class A Common Stock upon settlement and 377 shares of Class A Common Stock.
- F4Class 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.