0000899243-19-001096.txt : 20190111
0000899243-19-001096.hdr.sgml : 20190111
20190111214115
ACCESSION NUMBER: 0000899243-19-001096
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: Blasko Lawrence
CENTRAL INDEX KEY: 0001685070
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37885
FILM NUMBER: 19523524
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
0001685070
Blasko Lawrence
11100 NE 8TH STREET, SUITE 600
BELLEVUE
WA
98004
0
1
0
0
Chief Revenue Officer
Class A Common Stock
2019-01-10
4
D
0
83599
D
0
D
Stock Option (right to buy)
13.55
2019-01-10
4
D
0
6667
D
2025-02-19
Common Stock
6667
0
D
Stock Option (right to buy)
14.31
2019-01-10
4
D
0
12244
D
2025-11-05
Common Stock
12244
0
D
Stock Option (right to buy)
14.04
2019-01-10
4
D
0
7873
D
2027-05-12
Common Stock
7873
0
D
Stock Option (right to buy)
8.95
2019-01-10
4
D
0
61002
D
2023-06-14
Common Stock
61002
0
D
Stock Option (right to buy)
11.46
2019-01-10
4
D
0
21512
D
2024-06-17
Common Stock
21512
0
D
Stock Option (right to buy)
13.55
2019-01-10
4
D
0
13333
D
2025-02-19
Common Stock
13333
0
D
Stock Option (right to buy)
14.31
2019-01-10
4
D
0
47756
D
2025-11-05
Common Stock
47756
0
D
Stock Option (right to buy)
14.04
2019-01-10
4
D
0
53327
D
2027-05-12
Common Stock
53327
0
D
Includes 71,125 unvested restricted stock units that represent contingent rights to receive 71,125 shares of the Issuer's Class A Common Stock upon settlement 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 merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement").
Includes 11,270 unvested performance restricted stock units that represent contingent rights to receive 7,350 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 in exchange for a cash payment of $38.00 per share.
Includes 1,250 options, which vested solely as a result of the consummation of the Merger Agreement, which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes.
Includes 5,417 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.
Includes 1,834 vested options which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes.
Includes 10,410 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.
1/8th 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.
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 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 a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes.
1/4th of the shares subject to the option became vested and exercisable on May 29, 2014 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 April 1, 2016 and 1/48th of the shares subject to the option vest monthly thereafter.
Includes 38,165 vested options which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes.
Includes 9,591 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 22,950 vested options which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes.
Includes 30,377 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.
/s/ John Morrow Attorney-in-Fact for Lawrence Blasko
2019-01-11