0001441683-21-000055.txt : 20210702 0001441683-21-000055.hdr.sgml : 20210702 20210702163506 ACCESSION NUMBER: 0001441683-21-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kilberg Bobbie G CENTRAL INDEX KEY: 0001362638 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38098 FILM NUMBER: 211070716 MAIL ADDRESS: STREET 1: NORTHERN VIRGINIA TECHNOLOGY COUNCIL STREET 2: 2214 ROCKHILL ROAD, SUITE 300 CITY: HERNDON STATE: VA ZIP: 20171 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: APPIAN CORP CENTRAL INDEX KEY: 0001441683 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 541956084 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7950 JONES BRANCH DRIVE CITY: TYSONS STATE: VA ZIP: 22102 BUSINESS PHONE: 703-442-8844 MAIL ADDRESS: STREET 1: 7950 JONES BRANCH DRIVE CITY: TYSONS STATE: VA ZIP: 22102 4 1 wf-form4_162525807460704.xml FORM 4 X0306 4 2021-07-01 0 0001441683 APPIAN CORP APPN 0001362638 Kilberg Bobbie G C/O APPIAN CORPORATION 7950 JONES BRANCH DRIVE MCLEAN VA 22102 1 0 0 0 Class A Common Stock 2021-07-01 4 A 0 226 0 A 226 D Class A Common Stock 1929 I By trust These shares were granted under the Issuer's 2017 Equity Incentive Plan pursuant to the Issuer's Non-Employee Director Compensation Policy, as amended and approved by the Board of Directors on December 18, 2020. Includes 235 shares previously owned directly that were contributed to William & Barbara Kilberg Trustees of the William Kilberg Trust DTD 07/01/98 and Barbara & William Kilberg Trustees of the Barbara Kilberg Trust DTD 07/01/98, Tenants in Common on 4/21/2021. /s/ Angela Patterson, Attorney-in-Fact 2021-07-02