SEC Form 4 · accession 0001209191-18-019686

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

Mar 12, 2018

Accepted (ET)

Mar 14, 2018 · 8:13 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 Stock^F2	Mar 12, 2018	C	65,858	$0.00	A	65,858	I	See footnote
Class A Common Stock^F2	Mar 12, 2018	G	65,858	$0.00	D	0	I	See footnote
Class A Common Stock^F4	Mar 12, 2018	C	65,858	$0.00	A	65,858	I	See footnote
Class A Common Stock^F4	Mar 12, 2018	G	65,858	$0.00	D	0	I	See footnote

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 Stock^F2,F5,F6	$0.00	Mar 12, 2018	C	65,858	D	—	—	Class A Common Stock	65,858	0	I
Class B Common Stock^F4,F5,F7	$0.00	Mar 12, 2018	C	65,858	D	—	—	Class A Common Stock	65,858	0	I
Class B Common Stock^F8,F5	$0.00	holding	—	—	—	—	—	Class A Common Stock	789,757	789,757	D
Class B Common Stock^F9,F10,F5	$0.00	holding	—	—	—	—	—	Class A Common Stock	34,142	34,142	I

Explanation of responses

F1Represents the conversion of Class B Common Stock into Class A Common Stock held of record.
F10These shares are held by the Reporting Person's spouse.
F2These shares are held by KCS 2012 GRAT.
F3Represents a transfer for no consideration to the Trust for Macy Shintaffer established under KCS 2012 GRAT and KDS 2012 GRAT (the "Macy Shintaffer Trust"), as to which Mr. Shintaffer and his spouse disclaim beneficial ownership. Neither Mr. Shintaffer nor his spouse is a beneficiary of the Macy Shintaffer Trust, nor does Mr. Shintaffer or his spouse exercise voting or investment control over such shares. The sole trustee of the Macy Shintaffer Trust, exercises voting and investment control over the shares held of record by the Macy Shintaffer Trust.
F4These shares are held by KDS 2012 GRAT.
F5Class 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.
F6Excludes 10,611 shares previously beneficially owned indirectly through the KCS 2012 GRAT which were distributed to the reporting person on March 12, 2018 and are now beneficially owned directly.
F7Excludes 10,611 shares previously beneficially owned indirectly through the KDS 2012 GRAT which were distributed to the reporting person's spouse on March 12, 2018 and are now beneficially owned directly by the reporting person's spouse.
F8Includes 10,611 shares previously beneficially owned indirectly through the KCS 2012 GRAT which were distributed to the reporting person on March 12, 2018 and are now beneficially owned directly.
F9Includes 10,611 shares previously beneficially owned indirectly through the KDS 2012 GRAT which were distributed to the reporting person's spouse on March 12, 2018 and are now beneficially owned directly by the reporting person's spouse.