0001317423-17-000035.txt : 20171113
0001317423-17-000035.hdr.sgml : 20171110
20171113140035
ACCESSION NUMBER: 0001317423-17-000035
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171108
FILED AS OF DATE: 20171113
DATE AS OF CHANGE: 20171113
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: 171195128
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: 171195126
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: 171195127
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_151059962052822.xml
FORM 4
X0306
4
2017-11-08
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
2017-10-13
5
G
0
E
1200
0
D
3551072
I
By Behar Living Trust
Class A Common Stock
2017-10-19
5
G
0
E
200
0
D
3550872
I
By Behar Living Trust
Class A Common Stock
2017-11-08
4
S
0
2442
23.40
D
3548430
I
By Behar Living Trust
Class A Common Stock
2017-11-10
5
G
0
E
80
0
D
3548350
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
2017-11-13
/s/ Jerome M. Behar as trustee for The Behar Living Trust
2017-11-13
/s/ Leslie Fried Behar
2017-11-13