0001317423-16-000015.txt : 20160622 0001317423-16-000015.hdr.sgml : 20160622 20160622162058 ACCESSION NUMBER: 0001317423-16-000015 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160524 FILED AS OF DATE: 20160622 DATE AS OF CHANGE: 20160622 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: 161726788 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: 161726789 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: 161726790 MAIL ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 4/A 1 wf-form4a_146662684503596.xml FORM 4/A X0306 4/A 2016-05-24 2016-05-25 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 2016-05-24 4 S 0 27260 12.661 D 4325708 I By Behar Living Trust Class A Common Stock 2016-05-25 4 S 0 5000 13.20 D 4320708 I By Behar Living Trust Class A Common Stock 3065 I By son The price reported in Column 4 is a weighted-average price. The prices actually received range from $12.60 to $12.75. 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. This amendment is being filed solely to correct a typographical error in the transaction codes in Column 3 of Table I. /s/ Troy M. Calkins as attorney-in-fact for Jerome M. Behar, Leslie F. Behar and The Behar Living Trust 2016-06-22