0001317423-16-000021.txt : 20160906
0001317423-16-000021.hdr.sgml : 20160906
20160906113009
ACCESSION NUMBER: 0001317423-16-000021
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160830
FILED AS OF DATE: 20160906
DATE AS OF CHANGE: 20160906
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 Leslie F.
CENTRAL INDEX KEY: 0001627514
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36773
FILM NUMBER: 161870216
MAIL ADDRESS:
STREET 1: 2900 UNIVERSITY BLVD.
CITY: AMES
STATE: IA
ZIP: 50010
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: 161870217
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 Jerome M
CENTRAL INDEX KEY: 0001317423
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36773
FILM NUMBER: 161870218
MAIL ADDRESS:
STREET 1: 2900 UNIVERSITY BLVD.
CITY: AMES
STATE: IA
ZIP: 50010
4/A
1
wf-form4a_147317579605245.xml
FORM 4/A
X0306
4/A
2016-08-30
2016-09-01
0
0001445305
WORKIVA INC
WK
0001317423
Behar Jerome M
2900 UNIVERSITY BOULEVARD
AMES
IA
50010
0
0
1
0
0001627563
Behar Living Trust
2900 UNIVERSITY BOULEVARD
AMES
IA
50010
0
0
1
0
0001627514
Behar Leslie F.
2900 UNIVERSITY BOULEVARD
AMES
IA
50010
0
0
1
0
Class A Common Stock
2016-08-30
4
S
0
22282
17.865
D
4298426
I
By Behar Living Trust
Class A Common Stock
2016-08-31
4
S
0
40501
17.877
D
4257925
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 $17.85 to $17.90. 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 settlers of the Behar Living Trust.
This amendment is being filed solely to disclose reporting persons Behar Living Trust and Leslie F Behar in the Name and Address of Reporting Person section.
/s/ Jerome M. Behar as trustee for The Behar Living Trust
2016-09-06
/s/ Jerome M. Behar
2016-09-06
/s/ Leslie Fried Behar
2016-09-06