0001445305-23-000011.txt : 20230118 0001445305-23-000011.hdr.sgml : 20230118 20230118161932 ACCESSION NUMBER: 0001445305-23-000011 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230118 DATE AS OF CHANGE: 20230118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RADIA SUKU V. CENTRAL INDEX KEY: 0001196027 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36773 FILM NUMBER: 23534643 MAIL ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 FORMER NAME: FORMER CONFORMED NAME: RADIA SUKU V DATE OF NAME CHANGE: 20021003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WORKIVA INC CENTRAL INDEX KEY: 0001445305 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 472509828 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 BUSINESS PHONE: (515) 817-6100 MAIL ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 FORMER COMPANY: FORMER CONFORMED NAME: WORKIVA INC. DATE OF NAME CHANGE: 20141212 FORMER COMPANY: FORMER CONFORMED NAME: WORKIVA LLC DATE OF NAME CHANGE: 20140701 FORMER COMPANY: FORMER CONFORMED NAME: WEBFILINGS LLC DATE OF NAME CHANGE: 20091013 5 1 wf-form5_167407673434680.xml FORM 5 X0306 5 2022-12-31 0 0 0 0001445305 WORKIVA INC WK 0001196027 RADIA SUKU V. 2900 UNIVERSITY BOULEVARD AMES IA 50010 1 0 0 0 Class A Common Stock 2022-12-13 5 G 0 10000 0 D 21909 I By Trust Class A Common Stock 36889 D Due to an administrative error, these shares were reported in prior reports as directly held instead of indirectly held through a revocable living trust. /s/ Brandon E. Ziegler as attorney-in-fact for Suku Radia 2023-01-18