SEC Form 4 · accession 0001445305-18-000083
WORKIVA INC · WK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeff D Trom
Officer — Executive VP & CTO · 10% Owner
Period of report
May 8, 2018
Accepted (ET)
May 10, 2018 · 4:04 pm EDT
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 Stock | May 8, 2018 | C | 194,648 | $0.00 | A | 194,648 | I | By charitable remainder trust |
| Class A Common StockF1 | May 8, 2018 | G | 194,648 | $0.00 | D | 0 | I | By charitable remainder trust |
| Class A Common Stock | holding | — | — | — | 120,847 | D |
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 StockF2 | — | May 8, 2018 | C | 194,648 | D | — | — | Class A Common Stock | 194,648 | 328,402 | I |
| Class B Common StockF2 | — | holding | — | — | — | — | — | Class A Common Stock | 1,881,533 | 1,881,533 | D |
| Employee Stock Option to Purchase Class A Common StockF3,F4 | $12.40 | holding | — | — | — | Feb 1, 2018 | Jan 31, 2027 | Class A Common Stock | 25,215 | 25,215 | D |
| Employee Stock Option to Purchase Class A Common StockF3,F4 | $14.74 | holding | — | — | — | Feb 1, 2017 | Jan 31, 2026 | Class A Common Stock | 21,212 | 21,212 | D |
| Employee Stock Option to Purchase Class A Common StockF5,F6 | $15.83 | holding | — | — | — | Aug 12, 2015 | Aug 11, 2024 | Class A Common Stock | 178,200 | 178,200 | D |
Explanation of responses
- F1On May 8, 2018, the reporting person made charitable gifts in total of 194,648 shares.
- F2Each share of Class B Common Stock is convertible, at any time at the election of the holder, into one share of Class A Common Stock. In addition, each share of Class B Common Stock will convert automatically into one share of Class A Common Stock upon (i) the date specified by the holders of at least 66 2/3% of the outstanding shares of Class B Common Stock, (ii) any transfer, except for certain "qualified transfers" (as defined in the Issuer's Certificate of Incorporation) or (iii) upon the death of a natural person holding shares of Class B Common Stock (subject to certain exceptions as defined in the Issuer's Certificate of Incorporation).
- F3Granted pursuant to the 2014 Equity Incentive Plan.
- F4Vests in three equal annual installments commencing on the first anniversary of the grant date.
- F5Granted pursuant to 2009 Unit Incentive Plan.
- F6Vests as to 25% of the shares on the first anniversary of the grant date and as to 6.25% of the shares at the end of each three-month period thereafter.