SEC Form 4 · accession 0001209191-18-064084
Apptio Inc · APTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sachin Gupta
Officer — See Remarks · Director · 10% Owner
Period of report
Dec 20, 2018
Accepted (ET)
Dec 26, 2018 · 4:07 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 | Dec 20, 2018 | G | 395,000 | $0.00 | D | 3,696,453 | D | |
| Class A Common StockF2 | Dec 21, 2018 | M | 268,000 | $2.39 | A | 3,964,453 | D | |
| Class A Common StockF3 | holding | — | — | — | 307,357 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F4 | $2.39 | Dec 21, 2018 | M | 268,000 | D | — | Dec 19, 2021 | Class A Common Stock | 268,000 | 182,000 | D |
Explanation of responses
- F1Includes 127,000 RSUs that represent contingent rights to receive 127,000 shares of the Issuer's Class A Common Stock upon settlement and 3,569,453 shares of Class A Common Stock.
- F2Includes 127,000 RSUs that represent contingent rights to receive 127,000 shares of the Issuer's Class A Common Stock upon settlement and 3,837,453 shares of Class A Common Stock.
- F3These shares are held of record by FutureZ Irrevocable Trust 16.
- F4The option became fully vested and exercisable on October 11, 2015.
Remarks
President and Chief Executive Officer