FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Apptio Inc [ APTI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 01/10/2019 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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 | 01/10/2019 | D | 111,822(1)(2) | D | (3) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) | 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: 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 | ||||||||
Stock Option (right to buy) | $13.55 | 01/10/2019 | D | 1,563(4) | (5) | 02/19/2025 | Common Stock | 1,563(4) | (4) | 0 | D | ||||
Stock Option (right to buy) | $14.31 | 01/10/2019 | D | 7,931(4) | (6) | 11/05/2025 | Common Stock | 7,931(4) | (4) | 0 | D | ||||
Stock Option (right to buy) | $14.31 | 01/10/2019 | D | 3,341(4) | (7) | 05/26/2026 | Common Stock | 3,341(4) | (4) | 0 | D | ||||
Stock Option (right to buy) | $14.04 | 01/10/2019 | D | 5,100(4) | (8) | 05/12/2027 | Common Stock | 5,100(4) | (4) | 0 | D | ||||
Stock Option (right to buy) | $11.46 | 01/10/2019 | D | 27,019(9) | (10) | 06/17/2024 | Common Stock | 27,019(9) | (9) | 0 | D | ||||
Stock Option (right to buy) | $13.55 | 01/10/2019 | D | 18,003(9) | (5) | 02/19/2025 | Common Stock | 18,003(9) | (9) | 0 | D | ||||
Stock Option (right to buy) | $14.31 | 01/10/2019 | D | 61,339(11)(12) | (6) | 11/05/2025 | Common Stock | 61,339(11)(12) | (11)(12) | 0 | D | ||||
Stock Option (right to buy) | $14.31 | 01/10/2019 | D | 36,659(13)(14) | (7) | 05/26/2026 | Common Stock | 36,659(13)(14) | (13)(14) | 0 | D | ||||
Stock Option (right to buy) | $14.04 | 01/10/2019 | D | 35,700(15)(16) | (8) | 05/12/2027 | Common Stock | 35,700(15)(16) | (15)(16) | 0 | D |
Explanation of Responses: |
1. Includes 58,750 unvested restricted stock units that represent contingent rights to receive 58,750 shares of the Issuer's Class A Common Stock upon settlement and which were cancelled and automatically converted into the right to receive $38.00 per share on the same vesting terms as immediately prior to the consummation of the merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement"). |
2. Includes the 11,270 unvested performance restricted stock units that represent contingent rights to receive 11,270 shares of the Issuer's Class A Common Stock upon settlement and which were cancelled and automatically converted into the right to receive $38.00 per share on the same vesting terms as immediately prior to the consummation of the Merger Agreement. |
3. Disposed of pursuant to the merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement") in exchange for a cash payment of $38.00 per share. |
4. Consists of unvested options which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes. |
5. 1/4th of the shares subject to the option became vested and exercisable on April 1, 2016 and 1/48th of the shares subject to the option vest monthly thereafter. |
6. 1/8th of the shares subject to the option shall become vested and exercisable on May 1, 2017 and 1/96th of the shares subject to the option shall vest monthly thereafter for the next 36 months. 1/8th of the shares subject to the option shall become vested and exercisable on September 29, 2017 and 1/96th of the shares subject to the option shall vest monthly thereafter for the next 36 months. |
7. 1/4th of the shares subject to the option shall become vested and exercisable on May 1, 2017 and 1/48th of the shares subject to the option shall vest monthly thereafter. |
8. 1/4th of the shares subject to the option became vested and exercisable on May 15, 2018 and 1/16th of the remaining shares vest quarterly thereafter over the following three years, subject to the Reporting Person's continued service through each vesting date. |
9. Consists of vested options which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. |
10. 1/4th of the shares subject to the option became vested and exercisable on April 1, 2015 and 1/48th of the shares subject to the option vest monthly thereafter. |
11. Includes 42,290 vested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. |
12. Includes 19,049 unvested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. |
13. Includes 26,666 vested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. |
14. Includes 9,993 unvested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. |
15. Includes 15,300 vested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. |
16. Includes 20,400 unvested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. |
Remarks: |
/s/ John Morrow Attorney-in-Fact for Christopher Pick | 01/11/2019 | |
** 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 Number. |