SEC Form 4 · accession 0001441683-18-000152
APPIAN CORP · APPN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Matthew W Calkins
Officer — CEO and President · Director · 10% Owner
Period of report
Dec 7, 2018
Accepted (ET)
Dec 10, 2018 · 4:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001441683
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F2,F1 | $9.46 | Dec 7, 2018 | D | 383,897 | D | — | Jul 20, 2026 | Class B Common Stock | 383,897 | 1,444,183 | D |
Explanation of responses
- F1The option provided for vesting upon the occurrence of (a) a change of control in which the value per share of the Class A common stock is equal or greater than $28.38 and/or (b) the Class A common stock trades at or above $28.38 for a period equal to or greater than ninety (90) calendar days following the closing of the initial public offering. All of the options are fully vested.
- F2The option was cancelled by mutual agreement of the reporting person and Appian Corporation, pursuant to a Stock Option Cancellation Agreement dated December 7, 2018.