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