0001209191-17-032787.txt : 20170516
0001209191-17-032787.hdr.sgml : 20170516
20170516171324
ACCESSION NUMBER: 0001209191-17-032787
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170512
FILED AS OF DATE: 20170516
DATE AS OF CHANGE: 20170516
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
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: 17849504
MAIL ADDRESS:
STREET 1: 11100 NE 8TH ST #600
CITY: BELLEVUE
STATE: WA
ZIP: 98004
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-12
0
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
2017-05-12
4
A
0
46200
0.00
A
46577
D
Stock Option (right to buy)
14.04
2017-05-12
4
A
0
47600
0.00
A
2027-05-12
Class A Common Stock
47600
47600
D
Each share is represented by a restricted stock unit (RSU) that represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement.
1/4th of the RSUs will vest on May 15, 2018 and 1/16th of the remaining RSUs vest quarterly thereafter over the following three years, subject to
the Reporting Person's continued service through each vesting date.
Includes 46,200 RSUs that represent contingent rights to receive 46,200 shares of the Issuer's Class A Common Stock upon settlement and 377 shares of Class A common stock that were received by the Reporting Person in the first quarter of 2017 pursuant to a pro rata distribution of shares by an investment fund, in which the Reporting Person had an ownership interest.
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.
/s/ Frederick Williams, attorney-in-fact
2017-05-16