Initial Statement of Beneficial Ownership (3)
January 10 2022 - 4:13PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
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
*
Matheos Mark |
2. Date of Event Requiring Statement (MM/DD/YYYY)
12/31/2021
|
3. Issuer Name and Ticker or Trading Symbol
APPIAN CORP [APPN]
|
(Last)
(First)
(Middle)
7950 JONES BRANCH DRIVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Chief Accounting Officer / |
(Street)
MCLEAN, VA 22102
(City)
(State)
(Zip)
| 5. 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 Beneficially Owned
|
1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (Right to Buy) | 4/25/2022 | 4/25/2027 | Class B Common Stock | 4020.0 | $12.0 | D | |
Restricted Stock Unit | (1)(2) | (1) | Class A Common Stock | 20.0 | (1) | D | |
Restricted Stock Unit | (1)(3) | (1) | Class A Common Stock | 40.0 | (1) | D | |
Restricted Stock Unit | (1)(4) | (1) | Class A Common Stock | 3393.0 | (1) | D | |
Restricted Stock Unit | (1)(5) | (1) | Class A Common Stock | 3764.0 | (1) | D | |
Explanation of Responses: |
(1) | Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock (or its cash equivalent, at the discretion of the Issuer). |
(2) | The RSUs were granted on October 25, 2017 and vest on November 5, 2022, provided that the Reporting Person has provided continuous service to the Issuer through the vesting date. |
(3) | The RSUs were granted on April 27, 2018 and vest in two equal installments on each of May 5, 2022 and May 5, 2023, provided that the Reporting Person has provided continuous service to the Issuer through the vesting date. |
(4) | The RSUs were granted on October 29, 2019 and vest in three equal installments on each of November 5, 2022, November 5, 2023 and November 5, 2024, provided that the Reporting Person has provided continuous service to the Issuer through the vesting date. |
(5) | The RSUs were granted on May 4, 2021 and vest in four equal annual installments commencing on May 5, 2022, provided that the Reporting Person has provided continuous service to the Issuer through the vesting date. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Matheos Mark 7950 JONES BRANCH DRIVE MCLEAN, VA 22102 |
|
| Chief Accounting Officer |
|
Signatures
|
/s/ Angela Patterson, Attorney-in-Fact | | 1/10/2022 |
**Signature of Reporting Person | Date |
Appian (NASDAQ:APPN)
Historical Stock Chart
From Jun 2024 to Jul 2024
Appian (NASDAQ:APPN)
Historical Stock Chart
From Jul 2023 to Jul 2024