0001317423-17-000021.txt : 20170821
0001317423-17-000021.hdr.sgml : 20170821
20170821142749
ACCESSION NUMBER: 0001317423-17-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170817
FILED AS OF DATE: 20170821
DATE AS OF CHANGE: 20170821
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Behar Jerome M
CENTRAL INDEX KEY: 0001317423
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36773
FILM NUMBER: 171042900
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
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36773
FILM NUMBER: 171042898
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
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36773
FILM NUMBER: 171042899
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
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
4
1
wf-form4_150334005499720.xml
FORM 4
X0306
4
2017-08-17
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
2017-08-17
4
S
0
39055
20
D
3744597
I
By Behar Living Trust
Class A Common Stock
2017-08-18
4
S
0
7332
20
D
3737265
I
By Behar Living Trust
Class A Common Stock
3065
I
By son
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.
/s/ Jerome M. Behar
2017-08-21
/s/ Jerome M. Behar as trustee for The Behar Living Trust
2017-08-21
/s/ Leslie Fried Behar
2017-08-21