0001317423-17-000023.txt : 20170901
0001317423-17-000023.hdr.sgml : 20170901
20170901150924
ACCESSION NUMBER: 0001317423-17-000023
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170830
FILED AS OF DATE: 20170901
DATE AS OF CHANGE: 20170901
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: 171066161
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: 171066159
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: 171066160
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_150429294992760.xml
FORM 4
X0306
4
2017-08-30
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
2017-08-30
4
S
0
57186
20
D
3680079
I
By Behar Living Trust
Class A Common Stock
2017-08-31
4
S
0
58009
20
D
3622070
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
2017-09-01
/s/ Jerome M. Behar as trustee for The Behar Living Trust
2017-09-01
/s/ Leslie Fried Behar
2017-09-01