0000899243-19-001079.txt : 20190111 0000899243-19-001079.hdr.sgml : 20190111 20190111213305 ACCESSION NUMBER: 0000899243-19-001079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190110 FILED AS OF DATE: 20190111 DATE AS OF CHANGE: 20190111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pick Christopher CENTRAL INDEX KEY: 0001685065 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 19523513 MAIL ADDRESS: STREET 1: 11100 NE 8TH ST #600 CITY: BELLEVUE STATE: WA ZIP: 98004 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 2019-01-10 1 0001419625 Apptio Inc APTI 0001685065 Pick Christopher 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 0 1 0 0 Chief Marketing Officer Class A Common Stock 2019-01-10 4 D 0 111822 D 0 D Stock Option (right to buy) 13.55 2019-01-10 4 D 0 1563 D 2025-02-19 Common Stock 1563 0 D Stock Option (right to buy) 14.31 2019-01-10 4 D 0 7931 D 2025-11-05 Common Stock 7931 0 D Stock Option (right to buy) 14.31 2019-01-10 4 D 0 3341 D 2026-05-26 Common Stock 3341 0 D Stock Option (right to buy) 14.04 2019-01-10 4 D 0 5100 D 2027-05-12 Common Stock 5100 0 D Stock Option (right to buy) 11.46 2019-01-10 4 D 0 27019 D 2024-06-17 Common Stock 27019 0 D Stock Option (right to buy) 13.55 2019-01-10 4 D 0 18003 D 2025-02-19 Common Stock 18003 0 D Stock Option (right to buy) 14.31 2019-01-10 4 D 0 61339 D 2025-11-05 Common Stock 61339 0 D Stock Option (right to buy) 14.31 2019-01-10 4 D 0 36659 D 2026-05-26 Common Stock 36659 0 D Stock Option (right to buy) 14.04 2019-01-10 4 D 0 35700 D 2027-05-12 Common Stock 35700 0 D Includes 58,750 unvested restricted stock units that represent contingent rights to receive 58,750 shares of the Issuer's Class A Common Stock upon settlement and which were cancelled and automatically converted into the right to receive $38.00 per share on the same vesting terms as immediately prior to the consummation of the merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement"). Includes the 11,270 unvested performance restricted stock units that represent contingent rights to receive 11,270 shares of the Issuer's Class A Common Stock upon settlement and which were cancelled and automatically converted into the right to receive $38.00 per share on the same vesting terms as immediately prior to the consummation of the Merger Agreement. Disposed of pursuant to the merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement") in exchange for a cash payment of $38.00 per share. Consists of unvested options which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes. 1/4th of the shares subject to the option became vested and exercisable on April 1, 2016 and 1/48th of the shares subject to the option vest monthly thereafter. 1/8th of the shares subject to the option shall become vested and exercisable on May 1, 2017 and 1/96th of the shares subject to the option shall vest monthly thereafter for the next 36 months. 1/8th of the shares subject to the option shall become vested and exercisable on September 29, 2017 and 1/96th of the shares subject to the option shall vest monthly thereafter for the next 36 months. 1/4th of the shares subject to the option shall become vested and exercisable on May 1, 2017 and 1/48th of the shares subject to the option shall vest monthly thereafter. 1/4th of the shares subject to the option became vested and exercisable on May 15, 2018 and 1/16th of the remaining shares vest quarterly thereafter over the following three years, subject to the Reporting Person's continued service through each vesting date. Consists of vested options which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. 1/4th of the shares subject to the option became vested and exercisable on April 1, 2015 and 1/48th of the shares subject to the option vest monthly thereafter. Includes 42,290 vested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. Includes 19,049 unvested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. Includes 26,666 vested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. Includes 9,993 unvested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. Includes 15,300 vested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. Includes 20,400 unvested options, which were cancelled and automatically converted into the right to receive $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes, on the same vesting terms as immediately prior to the consummation of the merger. /s/ John Morrow Attorney-in-Fact for Christopher Pick 2019-01-11