8-A12B 1 workiva_formx8-a.htm 8-A12B Workiva_Form_8-A


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
__________________________________________
FORM 8-A
__________________________________________

FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
__________________________________________

WORKIVA LLC (to be converted into)

WORKIVA INC.*
(Exact name of registrant as specified in its charter)
__________________________________________

Delaware
 
26-3147209
(State of incorporation or organization)
 
(I.R.S. Employer Identification No.)

2900 University Blvd
Ames, IA 50010
(Address of principal executive offices including zip code)

Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class
to be so registered
 
Name of each exchange on which
each class is to be registered
 
 
 
Class A Common Stock, $0.001 par value per share

 
New York Stock Exchange

If this form relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act and is effective pursuant to General Instruction A.(c), check the following box. x

If this form relates to the registration of a class of securities pursuant to Section 12(g) of the Exchange Act and is effective pursuant to General Instruction A.(d), check the following box. ¨

Securities Act registration statement file number to which this form relates: 333-199459
Securities to be registered pursuant to Section 12(g) of the Act: None

*Workiva LLC, the registrant whose name appears on the cover of this registration statement, is a limited liability company organized under the laws of the State of Delaware. Prior to the listing of Class A Common Stock on the New York Stock Exchange, Workiva LLC will be converted into a Delaware corporation and renamed Workiva Inc. The Class A Common Stock to be listed on the New York Stock Exchange is the Class A Common Stock of Workiva Inc.




Item 1. Description of Registrant’s Securities to be Registered

Workiva Inc. (the “Company”) hereby incorporates by reference the description of its Class A Common Stock, par value $0.001 per share, to be registered hereunder contained under the heading “Description Of Capital Stock” in the Company’s registration statement on Form S-1 (File No. 333-199459) as initially filed with the Securities and Exchange Commission (the “Commission”) on October 17, 2014, as amended (the “Registration Statement”), and in the prospectus included in the Registration Statement to be filed separately by the Company with the Commission pursuant to Rule 424(b) under the Securities Act of 1933, as amended, which prospectus shall be deemed to be incorporated by reference herein.

Item 2. Exhibits

Under the “Instructions as to Exhibits” section of Form 8-A, no exhibits are required to be filed because no other securities of the Company are to be registered on the New York Stock Exchange, and the securities to be registered hereby are not being registered pursuant to Section 12(g) of the Securities Exchange Act of 1934, as amended.

2


SIGNATURE

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized.

Date: December 5, 2014
WORKIVA LLC

 
 
 
 
 
By:
/s/ Troy Calkins
 
 
 
Troy Calkins
 
 
 
General Counsel

 







3