SEC Form 4 · accession 0001441683-18-000029

APPIAN CORP · APPN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Bobbie G Kilberg

Director

Period of report

Feb 28, 2018

Accepted (ET)

Mar 1, 2018 · 4:05 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001441683

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I
Class A Common Stock^F2,F3	Feb 28, 2018	C	4,104	—	A	7,324	D
Class A Common Stock^F4	Feb 28, 2018	S	7,324	$28.00	D	0	D
Class A Common Stock^F2,F3	Mar 1, 2018	C	13,896	—	A	13,896	D
Class A Common Stock^F5	Mar 1, 2018	S	13,896	$28.02	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)^F6	$11.17	Feb 28, 2018	M	4,104	D	—	Jan 31, 2027	Class B Common Stock	4,104	85,896	D
Class B Common Stock^F2,F3	—	Feb 28, 2018	M	4,104	A	—	—	Class A Common Stock	4,104	4,104	D
Class B Common Stock^F2,F3	—	Feb 28, 2018	C	4,104	D	—	—	Class A Common Stock	4,104	0	D
Stock Option (Right to Buy)^F6	$11.17	Mar 1, 2018	M	13,896	D	—	Jan 31, 2027	Class B Common Stock	13,896	72,000	D
Class B Common Stock^F2,F3	—	Mar 1, 2018	M	13,896	A	—	—	Class A Common Stock	13,896	13,896	D
Class B Common Stock^F2,F3	—	Mar 1, 2018	C	13,896	D	—	—	Class A Common Stock	13,896	0	D

Explanation of responses

F1Pursuant to the terms of the Class B Common Stock, the Reporting Person converted shares of Class B Common Stock into shares of Class A Common Stock.
F2Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock and has no expiration date. In addition, each share of Class B Common Stock will convert automatically into one share of Class A Common Stock upon (1) any transfer, whether or not for value and whether voluntary or involuntary or by operation of law, except for certain transfers described in the Issuer's certificate of incorporation, including, without limitation, certain transfers for tax and estate planning purposes or (continued to Footnote (3))
F3(continued from Footnote (2)) (2) the death or disability, as defined in the Issuer's certificate of incorporation, of the applicable Class B common stockholder (or nine months after the date of death or disability if the stockholder is one of the Issuer's founders). In addition, on the first trading day following the date on which the outstanding shares of Class B Common Stock represent less than 10% of the aggregate voting power of the Issuer's then outstanding capital stock, all outstanding shares of Class B Common Stock shall convert automatically into Class A Common Stock, and no additional shares of Class B Common Stock will be issued.
F4The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $28.00 to $28.01, inclusive. The Reporting Person undertakes to provide to Appian Corporation, any security holder of Appian Corporation, 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 (5) to this form.
F5The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $28.00 to $28.19, inclusive.
F6Fully vested.