SEC Form 4 · accession 0001624105-15-000003
WORKIVA INC · WK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph H. Howell
Officer — Executive VP
Period of report
Dec 10, 2015
Accepted (ET)
Dec 14, 2015 · 7:02 pm 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 Stock | Dec 10, 2015 | C | 24,000 | $0.00 | A | 24,000 | I | By living trust |
| Class A Common StockF1 | Dec 11, 2015 | S | 20,915 | $17.91 | D | 3,085 | I | By living trust |
| Class A Common StockF2 | Dec 14, 2015 | S | 3,085 | $17.99 | D | 0 | I | By living trust |
| Class A Common Stock | holding | — | — | — | 10,000 | D | ||
| Class A Common Stock | holding | — | — | — | 44,400 | I | By daughter |
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 StockF5 | — | Dec 10, 2015 | C | 24,000 | D | — | — | Class A Common Stock | 24,000 | 774,234 | I |
| Employee Stock Option to Purchase Class A Common StockF3,F4 | $15.83 | holding | — | — | — | Aug 12, 2015 | Aug 11, 2024 | Class A Common Stock | 178,200 | 178,200 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted-average price. The prices actually received range from $17.59 to $18.06. For all transactions reported in this Form 4 utilizing a weighted-average price, the reporting person undertakes to provide upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range.
- F2The price reported in Column 4 is a weighted-average price. The prices actually received range from $17.93 to $18.14. For all transactions reported in this Form 4 utilizing a weighted-average price, the reporting person undertakes to provide upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range.
- F3Granted pursuant to 2009 Unit Incentive Plan.
- F4Vests 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.
- F5Each 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).