0000899243-19-001091.txt : 20190111 0000899243-19-001091.hdr.sgml : 20190111 20190111213817 ACCESSION NUMBER: 0000899243-19-001091 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: Philips Kathleen CENTRAL INDEX KEY: 0001524268 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 19523521 MAIL ADDRESS: STREET 1: C/O ZILLOW GROUP, INC. STREET 2: 1301 SECOND AVENUE, FLOOR 31 CITY: SEATTLE STATE: WA ZIP: 98101 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 0001524268 Philips Kathleen 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 1 0 0 0 Class A Common Stock 2019-01-10 4 D 0 22811 D 0 D Includes 13,732 RSUs that represent contingent rights to receive 13,732 shares of the Issuer's Class A Common Stock upon settlement and which vested solely as a result of the consummation of the merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement"), which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share. Disposed of pursuant to the Merger Agreement in exchange for a cash payment of $38.00 per share. /s/ John Morrow Attorney-in-Fact for Kathleen Philips 2019-01-11