0001209191-12-057830.txt : 20121214 0001209191-12-057830.hdr.sgml : 20121214 20121214172259 ACCESSION NUMBER: 0001209191-12-057830 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121212 FILED AS OF DATE: 20121214 DATE AS OF CHANGE: 20121214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SORENSON WILLIAM G CENTRAL INDEX KEY: 0001094065 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34803 FILM NUMBER: 121266549 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QLIK TECHNOLOGIES INC CENTRAL INDEX KEY: 0001305294 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 201643718 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 150 N. RADNOR CHESTER ROAD STREET 2: SUITE E220 CITY: RADNOR STATE: PA ZIP: 19087 BUSINESS PHONE: 888-828-9768 MAIL ADDRESS: STREET 1: 150 N. RADNOR CHESTER ROAD STREET 2: SUITE E220 CITY: RADNOR STATE: PA ZIP: 19087 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-12-12 0 0001305294 QLIK TECHNOLOGIES INC QLIK 0001094065 SORENSON WILLIAM G C/O QLIK TECHNOLOGIES INC., 150 N. RADNOR CHESTER ROAD RADNOR PA 19087 0 1 0 0 CFO, Treasurer and Secretary Common Stock 2012-12-12 4 M 0 80000 1.65 A 125850 D Common Stock 2012-12-12 4 S 0 80000 20.095 D 45850 D Employee Stock Option (Right to Buy) 1.65 2012-12-12 4 M 0 80000 0.00 D 2018-09-30 Common Stock 80000 436675 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $19.95 to $20.51, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (1) to this Form 4. Exercisable with respect to 1/8 of the shares of stock which are subject to this option on March 30, 2009 (the "Initial Vesting Date"), provided Reporting Person remains continuously employed by the Issuer through the Initial Vesting Date; and exercisable with respect to 7/8 of the shares of stock which are subject to this option in equal increments quarterly over three and one-half (3 1/2) years beginning on the date three (3) months from the Initial Vesting Date, provided that the Reporting Person remains continuously employed by the Issuer through the last day of each quarterly period. /s/ Deborah C. Lofton, Attorney-in-Fact for William G. Sorenson 2012-12-13