0001209191-12-056904.txt : 20121211 0001209191-12-056904.hdr.sgml : 20121211 20121211164318 ACCESSION NUMBER: 0001209191-12-056904 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121207 FILED AS OF DATE: 20121211 DATE AS OF CHANGE: 20121211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Dennis E. CENTRAL INDEX KEY: 0001540040 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34803 FILM NUMBER: 121256834 MAIL ADDRESS: STREET 1: 150 N. RADNOR CHESTER ROAD STREET 2: SUITE E220 CITY: RADNOR STATE: PA ZIP: 19087 FORMER NAME: FORMER CONFORMED NAME: Johnson Dennis DATE OF NAME CHANGE: 20120119 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 2012-12-07 0 0001305294 QLIK TECHNOLOGIES INC QLIK 0001540040 Johnson Dennis E. 150 N. RADNOR CHESTER ROAD, SUITE E220 RADNOR PA 19087 0 1 0 0 Chief Accounting Officer Employee Stock Option (Right to Buy) 19.24 2012-12-07 4 A 0 25000 0.00 A 2022-12-07 Common Stock 25000 25000 D Exercisable with respect to 1/4 of the shares of stock which are subject to this option on December 7, 2013 (the "Initial Vesting Date"), provided Reporting Person remains continuously employed by the Issuer through the Initial Vesting Date; and exercisable with respect to 3/4 of the shares of stock which are subject to this option in equal increments quarterly over three (3) 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 Dennis E. Johnson 2012-12-10