0000899243-19-001087.txt : 20190111 0000899243-19-001087.hdr.sgml : 20190111 20190111213645 ACCESSION NUMBER: 0000899243-19-001087 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: Gupta Sachin CENTRAL INDEX KEY: 0001685044 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 19523519 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 0001685044 Gupta Sachin 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 1 1 1 0 See Remarks Class A Common Stock 2019-01-10 4 D 0 3994833 D 0 D Class A Common Stock 2019-01-10 4 D 0 307357 D 0 I See Footnote Stock Option (right to buy) 14.31 2019-01-10 4 D 0 400000 D 2025-11-06 Common Stock 400000 0 D Stock Option (right to buy) 14.04 2019-01-10 4 D 0 54400 D 2027-05-13 Common Stock 54400 0 D Stock Option (right to buy) 2.39 2019-01-10 4 D 0 182000 D 2021-12-20 Common Stock 182000 0 D Stock Option (right to buy) 11.46 2019-01-10 4 D 0 182000 D 2024-06-18 Common Stock 182000 0 D Includes 127,000 unvested restricted stock units that represent contingent rights to receive 127,000 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 30,380 unvested performance restricted stock units that represent contingent rights to receive 30,380 shares of Issuer's Class A Common Stock 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 in exchange for a cash payment of $38.00 per share pursuant to the Merger Agreement. These shares were held of record by FutureZ Irrevocable Trust 16. Includes 245,831 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. Includes 154,169 unvested options, which were cancelled and automatically converted into the right to received $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 Agreement. 1/8th of the shares subject to the option became 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 became vested and exercisable on September 29, 2017 and 1/96th of the shares subject to the option vest monthly thereafter for the next 36 months. Includes 20,400 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 Agreement. Includes 34,000 unvested options, which were cancelled and automatically converted into the right to received $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 Agreement. 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. Includes 182,000 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 Agreement. 1/4th of the shares subject to the option became vested and exercisable on December 20, 2011 and 1/16th of the remaining shares vested quarterly thereafter over the following three years, subject to the Reporting Person's continued service through each vesting date. The option became fully vested and exercisable on December 20, 2015. Includes 182,000 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 Agreement. 1/4th of the shares subject to the option became vested and exercisable on June 18, 2014 and 1/16th of the remaining shares vested quarterly thereafter over the following three years, subject to the Reporting Person's continued service through each vesting date. The option became fully vested and exercisable on June 18, 2018. President and Chief Executive Officer /s/ John Morrow Attorney-in-Fact for Sachin Gupta 2019-01-11