Statement of Changes in Beneficial Ownership (4)
December 13 2017 - 6:42PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Gupta Sachin
|
2. Issuer Name
and
Ticker or Trading Symbol
Apptio Inc
[
APTI
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
See Remarks
|
(Last)
(First)
(Middle)
11100 NE 8TH STREET, SUITE 600
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/11/2017
|
(Street)
BELLEVUE, WA 98004
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code
(Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Class A Common Stock
|
12/11/2017
|
|
C
(1)
|
|
18400
|
A
|
$0.00
|
71954
(2)
|
D
|
|
Class A Common Stock
|
12/11/2017
|
|
S
(3)
|
|
18400
|
D
|
$22.8628
(4)
|
53554
(5)
|
D
|
|
Class A Common Stock
|
12/11/2017
|
|
C
(1)
|
|
20800
|
A
|
$0.00
|
20800
|
I
|
See footnote
(6)
|
Class A Common Stock
|
12/11/2017
|
|
S
(3)
|
|
20800
|
D
|
$22.8678
(7)
|
0
|
I
|
See footnote
(6)
|
Class A Common Stock
|
12/12/2017
|
|
C
(1)
|
|
18400
|
A
|
$0.00
|
71954
(2)
|
D
|
|
Class A Common Stock
|
12/12/2017
|
|
S
(3)
|
|
18400
|
D
|
$22.3777
(8)
|
53554
(5)
|
D
|
|
Class A Common Stock
|
12/12/2017
|
|
C
(1)
|
|
14200
|
A
|
$0.00
|
14200
|
I
|
See footnote
(6)
|
Class A Common Stock
|
12/12/2017
|
|
S
(3)
|
|
14200
|
D
|
$22.4278
(9)
|
0
|
I
|
See footnote
(6)
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. Code
(Instr. 8)
|
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
6. Date Exercisable and Expiration Date
|
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
|
8. Price of Derivative Security
(Instr. 5)
|
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
|
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
|
11. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
(A)
|
(D)
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
Class B Common Stock
|
$0.00
(10)
|
12/11/2017
|
|
C
|
|
|
18400
|
(10)
|
(10)
|
Class A Common Stock
|
18400
|
$0.00
|
4242252
|
D
|
|
Class B Common Stock
|
$0.00
(10)
|
12/11/2017
|
|
C
|
|
|
20800
|
(10)
|
(10)
|
Class A Common Stock
|
20800
|
$0.00
|
692788
|
I
|
See footnote
(6)
|
Class B Common Stock
|
$0.00
(10)
|
12/12/2017
|
|
C
|
|
|
18400
|
(10)
|
(10)
|
Class A Common Stock
|
18400
|
$0.00
|
4223852
|
D
|
|
Class B Common Stock
|
$0.00
(10)
|
12/12/2017
|
|
C
|
|
|
14200
|
(10)
|
(10)
|
Class A Common Stock
|
14200
|
$0.00
|
678588
|
I
|
See footnote
(6)
|
Explanation of Responses:
|
(1)
|
Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the reporting person.
|
(2)
|
Includes 52,800 RSUs that represent contingent rights to receive 52,800 shares of the Issuer's Class A Common Stock upon settlement and 19,154 shares of Class A Common Stock.
|
(3)
|
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 6, 2017.
|
(4)
|
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $22.42 to $23.30. The
reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (4), (7), (8) and (9) to this Form 4.
|
(5)
|
Includes 52,800 RSUs that represent contingent rights to receive 52,800 shares of the Issuer's Class A Common Stock upon settlement and 754 shares of Class A Common Stock.
|
(6)
|
These shares are held of record by PG GRAT of 2016.
|
(7)
|
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $22.43 to $23.30.
|
(8)
|
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $21.99 to $22.76.
|
(9)
|
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $22.00 to $22.79.
|
(10)
|
Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a one-for-one basis and has no expiration date.
|
Remarks:
President and Chief Executive Officer
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
Gupta Sachin
11100 NE 8TH STREET, SUITE 600
BELLEVUE, WA 98004
|
X
|
X
|
See Remarks
|
|
Signatures
|
/s/ Frederick Williams, attorney-in-fact
|
|
12/13/2017
|
**
Signature of Reporting Person
|
Date
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
|
*
|
If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
|
**
|
Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
|
Note:
|
File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
|
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
|
APPTIO INC (NASDAQ:APTI)
Historical Stock Chart
From Mar 2024 to Apr 2024
APPTIO INC (NASDAQ:APTI)
Historical Stock Chart
From Apr 2023 to Apr 2024