0000899243-18-012802.txt : 20180514 0000899243-18-012802.hdr.sgml : 20180514 20180514211454 ACCESSION NUMBER: 0000899243-18-012802 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180510 FILED AS OF DATE: 20180514 DATE AS OF CHANGE: 20180514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McIlwain Matthew S CENTRAL INDEX KEY: 0001381752 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 18832748 MAIL ADDRESS: STREET 1: 1000 SECOND AVENUE STREET 2: SUITE 3700 CITY: SEATTLE STATE: WA ZIP: 98104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Apptio Inc CENTRAL INDEX KEY: 0001419625 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 261175252 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11100 NE 8TH STREET STREET 2: SUITE 600 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425-453-5861 MAIL ADDRESS: STREET 1: 11100 NE 8TH STREET STREET 2: SUITE 600 CITY: BELLEVUE STATE: WA ZIP: 98004 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-05-10 0 0001419625 Apptio Inc APTI 0001381752 McIlwain Matthew S 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 1 0 0 0 Class A Common Stock 2018-05-10 4 C 0 2049786 0.00 A 2049786 I See footnote Class A Common Stock 2018-05-10 4 J 0 1000000 0.00 D 1049786 I See footnote Class A Common Stock 2018-05-10 4 J 0 25318 0.00 A 48941 D Class A Common Stock 2018-05-10 4 J 0 9484 0.00 A 18691 I See footnote Class B Common Stock 0.00 2018-05-10 4 C 0 2049786 0.00 D Class A Common Stock 2049786 0 I See footnote Stock Option (right to buy) 14.31 2018-05-10 4 J 0 30000 0.00 D 2025-11-05 Class B Common Stock 30000 0 D Stock Option (right to buy) 14.31 2018-05-10 4 J 0 30000 0.00 A 2025-11-05 Class A Common Stock 30000 30000 D Prior to the Distribution (defined below), includes 1,971,044 shares held by Madrona Venture Fund III, L.P.("Madrona III") and 78,742 shares held by Madrona Venture Fund III-A, L.P. ("Madrona III-A"). Following the Distribution, includes 1,009,457 shares held by Madrona III and 40,329 shares held by Madrona III-A. Matthew McIlwain (who is a director of the issuer and files separate section 16(a) reports) is a managing director of the various entities affiliated with Madrona. Madrona Investment Partners III, L.P. is the general partner of Madrona III and Madrona III-A. Mr. McIlwain disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. The Company's Class B Common Stock automatically converted to Class A Common Stock on May 10, 2018, which is the date the Class B Common Stock ceased to represent at least 25% of the Issuer's outstanding common stock, as established in the Issuer's Amended and Restated Certificate of Incorporation. In connection with the conversion described in footnote (2), outstanding options to purchase Class B Common Stock issued under the Issuer's 2011 Executive Equity Incentive Plan and 2007 Stock Plan remain unchanged, except that they now represent a right to buy shares of the Issuer's Class A Common Stock. 1/3rd of the shares subject to the option shall become vested on September 29, 2017 and 1/36th of the shares subject to the option shall vest monthly thereafter for the next 24 months. The option is subject to an early exercise right and may be exercised in full prior to the vesting of the shares underlying the option, subject to the issuer's right of repurchase. Represents a pro rata distribution for no consideration to the limited partners and general partners of Madrona III and Madrona III-A (the "Distribution"). Acquisition by the reporting person, who is a Managing Director of the various entities affiliated with Madrona, pursuant to the Distribution. Includes 8,685 RSUs that represent contingent rights to receive 8,685 shares of the Issuer's Class A Common Stock upon settlement. Acquisition by the McIlwain Family GST Trust, pursuant to the Distribution. Held by the McIlwain Family GST Trust. /s/ John Morrow, attorney-in-fact 2018-05-14