0000899243-16-030233.txt : 20160928 0000899243-16-030233.hdr.sgml : 20160928 20160928163047 ACCESSION NUMBER: 0000899243-16-030233 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160928 FILED AS OF DATE: 20160928 DATE AS OF CHANGE: 20160928 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Apptio Inc CENTRAL INDEX KEY: 0001419625 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 261175252 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11100 NE 8TH STREET STREET 2: SUITE 600 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425-453-5861 MAIL ADDRESS: STREET 1: 11100 NE 8TH STREET STREET 2: SUITE 600 CITY: BELLEVUE STATE: WA ZIP: 98004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOGAN THOMAS F CENTRAL INDEX KEY: 0001145713 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 161907273 MAIL ADDRESS: STREET 1: C/O RATIONAL SOFTWARE CORP STREET 2: 18880 HOMESTEAD ROAD CITY: CUPERTINO STATE: CA ZIP: 95014 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-09-28 0 0001419625 Apptio Inc APTI 0001145713 BOGAN THOMAS F 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 1 0 0 0 Series E Preferred Stock 2016-09-28 4 C 0 44063 0.00 D Class B Common Stock 44063 0 D Class B Common Stock 2016-09-28 4 C 0 44063 0.00 A Class A Common Stock 44063 245618 D The Preferred Stock automatically converted into the issuer's Class B Common Stock on a 1-for-1 basis immediately prior to the closing of the issuer's initial public offering and had no expiration date. Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a 1-for-1 basis and has no expiration date. /s/ John Morrow, attorney-in-fact 2016-09-28