SEC Form 5 · accession 0001317423-17-000003
WORKIVA INC · WK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Dec 31, 2016
Accepted (ET)
Feb 10, 2017 · 11:43 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001445305
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Aug 22, 2016 | G | 2,150 | $0.00 | D | 4,165,775 | I | By Behar Living Trust |
| Class A Common StockF1 | Dec 12, 2016 | G | 40 | $0.00 | D | 4,165,735 | I | By Behar Living Trust |
| Class A Common StockF1 | Dec 13, 2016 | G | 180 | $0.00 | D | 4,165,555 | I | By Behar Living Trust |
| Class A Common Stock | holding | — | — | — | 3,065 | I | By son |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares are owned directly by The Behar Living Trust (a 10% owner of the issuer), and indirectly by Jerome M. Behar and Leslie F. Behar as settlors of the Behar Living Trust.