0001317423-15-000008.txt : 20151214 0001317423-15-000008.hdr.sgml : 20151214 20151214191923 ACCESSION NUMBER: 0001317423-15-000008 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151211 FILED AS OF DATE: 20151214 DATE AS OF CHANGE: 20151214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WORKIVA INC CENTRAL INDEX KEY: 0001445305 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 472509828 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Behar Living Trust CENTRAL INDEX KEY: 0001627563 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36773 FILM NUMBER: 151287059 BUSINESS ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 BUSINESS PHONE: (888) 275-3125 MAIL ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Behar Leslie F. CENTRAL INDEX KEY: 0001627514 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36773 FILM NUMBER: 151287060 MAIL ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Behar Jerome M CENTRAL INDEX KEY: 0001317423 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36773 FILM NUMBER: 151287061 MAIL ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 4/A 1 wf-form4a_145013875138877.xml FORM 4/A X0306 4/A 2015-12-11 2015-12-14 0 0001445305 WORKIVA INC WK 0001317423 Behar Jerome M 2900 UNIVERSITY BOULEVARD AMES IA 50010 0 0 1 0 0001627514 Behar Leslie F. 2900 UNIVERSITY BOULEVARD AMES IA 50010 0 0 1 0 0001627563 Behar Living Trust 2900 UNIVERSITY BOULEVARD AMES IA 50010 0 0 1 0 Class A Common Stock 2015-12-11 4 S 0 15000 18.003 D 4357268 I By Behar Living Trust Class A Common Stock 2015-12-14 4 S 0 1300 18.103 D 4355968 I By Behar Living Trust The price reported in Column 4 is a weighted-average price. The prices actually received range from $18.00 to $18.02. For all transactions reported in this Form 4 utilizing a weighted-average price, the reporting person undertakes to provide upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range. Shares are owned directly by The Behar Living Trust (a 10% owner of the issuer), and indirectly by Jerome M. Behar and Leslie F. Behar as settlors of the Behar Living Trust. The price reported in Column 4 is a weighted-average price. The prices actually received range from $18.10 to $18.11. For all transactions reported in this Form 4 utilizing a weighted-average price, the reporting person undertakes to provide upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range. This amendment is being filed to correct the amount of Securities Beneficially Owned Following Reported Transactions and to reflect the fact that the second Form 4 filed by the reporting persons on December 14, 2015 was intended to amend the first Form 4 filed by the reporting persons on December 14, 2015. /s/ Jerome M. Behar as trustee for The Behar Living Trust 2015-12-14 /s/ Jerome M. Behar 2015-12-14 /s/ Leslie Fried Behar 2015-12-14