SEC Form 4
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*
RUBIN KEVIN

(Last) (First) (Middle)
C/O ALTERYX, INC.
17200 LAGUNA CANYON ROAD

(Street)
IRVINE CA 92618

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Alteryx, Inc. [ AYX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
03/14/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Performance Stock Units (Class A Common Stock) (1) 03/14/2022 A 300,000 (2)(3) 09/13/2029 Class A Common Stock 300,000 $0.00 300,000 D
Explanation of Responses:
1. Each performance-based restricted stock unit ("PSU") award represents a contingent right to receive one share of the Issuer's Class A Common Stock at the time the shares are earned and settled for no consideration. Shares of the Issuer's Class A Common Stock will be delivered to the Reporting Person following vesting.
2. The shares subject to the PSU award will vest in six segments as follows, based on the respective stock price targets for the Issuer's Class A Common Stock: (i) 60,000 shares will vest at a stock price target of $90.00; (ii) 60,000 shares will vest at a stock price target of $120.00; (iii) 50,000 shares will vest at a stock price target of $150.00; (iv) 50,000 shares will vest at a stock price target of $180.00; (v) 40,000 shares will vest at a stock price target of $210.00; and (vi) 40,000 shares will vest at a stock price target of $240.00, subject in each case to the status of "Participant's Service" (as defined in the 2017 Equity Incentive Plan) through each vesting date. The shares subject to the PSU award will vest only if the stock price is sustained at or above the respective target level over a continuous 60-trading day period. If none of the six stock price targets are achieved within a seven-year period from the grant date, no shares subject to the PSU award will vest.
3. Notwithstanding any earlier achievement of a stock price target, no portion of the PSU award that is achieved will vest prior to the two-year anniversary of the grant date of the award.
Remarks:
/s/ Christopher M. Lal, by power of attorney 03/16/2022
** 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.
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