SEC Form 4 · accession 0001624105-16-000004

WORKIVA INC · WK

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

Reporting owner

Officer — Executive VP

Period of report

Jan 19, 2016

Accepted (ET)

Jan 21, 2016 · 4:50 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^F2,F1	Jan 19, 2016	A	6,463	—	A	16,463	D
Class A Common Stock	holding	—	—		—	44,400	I	By daughter

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option to Purchase Class A Common Stock^F3,F4	$15.83	holding	—	—	—	Aug 12, 2015	Aug 11, 2024	Class A Common Stock	178,200	178,200	D
Class B Common Stock^F5	—	holding	—	—	—	—	—	Class A Common Stock	774,234	774,234	I

F1Grant of restricted stock pursuant to the 2014 Equity Incentive Plan.
F2Vests in three equal annual installments commencing on the first anniversary of the grant date.
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).