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