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