0000899243-19-001093.txt : 20190111 0000899243-19-001093.hdr.sgml : 20190111 20190111213916 ACCESSION NUMBER: 0000899243-19-001093 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: Shintaffer Kurt CENTRAL INDEX KEY: 0001685074 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 19523522 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 0001685074 Shintaffer Kurt 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 0 1 0 0 Chief Financial Officer Class A Common Stock 2019-01-10 4 D 0 601741 D 0 D Class A Common Stock 2019-01-10 4 D 0 34142 D 0 I See Footnote Stock Option (right to buy) 13.55 2019-01-10 4 D 0 1250 D 2025-02-19 Common Stock 1250 0 D Stock Option (right to buy) 13.99 2019-01-10 4 D 0 1250 D 2025-05-06 Common Stock 1250 0 D Stock Option (right to buy) 14.31 2019-01-10 4 D 0 9203 D 2025-11-05 Common Stock 9203 0 D Stock Option (right to buy) 14.04 2019-01-10 4 D 0 5950 D 2027-05-12 Common Stock 5950 0 D Stock Option (right to buy) 11.46 2019-01-10 4 D 0 1690 D 2024-06-17 Common Stock 1690 0 D Stock Option (right to buy) 13.55 2019-01-10 4 D 0 9145 D 2025-02-19 Common Stock 9145 0 D Stock Option (right to buy) 13.99 2019-01-10 4 D 0 12839 D 2025-05-06 Common Stock 12839 0 D Stock Option (right to buy) 14.31 2019-01-10 4 D 0 149131 D 2025-11-05 Common Stock 149131 0 D Stock Option (right to buy) 14.04 2019-01-10 4 D 0 41650 D 2027-05-12 Common Stock 41650 0 D Includes 68,375 unvested RSUs that represent contingent rights to receive 68,375 shares of 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. Includes 12,740 unvested performance restricted stock units that represent contingent rights to receive 12,740 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 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. Shares held by the Reporting Person's spouse. 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, 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 April 1, 2016 and 1/48th of the shares subject to the option vest monthly thereafter. 1/4th of the shares subject to the option became vested and exercisable on May 1, 2016 and 1/48th of the shares subject to the option vest monthly thereafter. 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 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 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 Agreement. 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 52,466 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 Agreement. Includes 96,665 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 23,800 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 Agreement. Includes 17,850 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. /s/ John Morrow Attorney-in-Fact for Kurt Shintaffer 2019-01-11