0001209191-17-067121.txt : 20171222 0001209191-17-067121.hdr.sgml : 20171222 20171222172231 ACCESSION NUMBER: 0001209191-17-067121 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171221 FILED AS OF DATE: 20171222 DATE AS OF CHANGE: 20171222 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: 171273343 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 2017-12-21 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 2017-12-21 4 C 0 10000 0.00 A 56577 D Class A Common Stock 2017-12-21 5 G 0 E 10000 0.00 D 46577 D Class B Common Stock 0.00 2017-12-21 4 C 0 10000 0.00 D Class A Common Stock 10000 889146 D Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the reporting person. Includes 46,200 RSUs that represent contingent rights to receive 46,200 shares of the Issuer's Class A Common Stock upon settlement and 10,377 shares of Class A Common Stock. 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. Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a one-for-one basis and has no expiration date. /s/ Frederick Williams, attorney-in-fact 2017-12-22