0001209191-18-010176.txt : 20180214
0001209191-18-010176.hdr.sgml : 20180214
20180214190951
ACCESSION NUMBER: 0001209191-18-010176
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180212
FILED AS OF DATE: 20180214
DATE AS OF CHANGE: 20180214
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: 18615500
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
2018-02-12
0
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
2018-02-12
4
C
0
30000
0.00
A
89981
D
Class A Common Stock
2018-02-12
4
S
0
30000
25.0707
D
59981
D
Stock Option (right to buy)
0.72
2018-02-12
4
M
0
30000
0.00
D
2019-09-16
Class B Common Stock
30000
137000
D
Class B Common Stock
2018-02-12
4
M
0
30000
0.00
A
Class A Common Stock
30000
30000
D
Class B Common Stock
2018-02-12
4
C
0
30000
0.00
D
Class A Common Stock
30000
0
D
Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the reporting person.
Includes 59,400 RSUs that represent contingent rights to receive 59,400 shares of the Issuer's Class A Common Stock upon settlement and 30,581 shares of Class A Common Stock of which 471 shares of Class A Common Stock were purchased by the reporting person under the Issuer's employee stock purchase plan at a purchase price of $14.5690 per share on November 30, 2017.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 23, 2017.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $24.95 to $25.46. The
reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth above.
Includes 59,400 RSUs that represent contingent rights to receive 59,400 shares of the Issuer's Class A Common Stock upon settlement and 581 shares of Class A Common Stock.
The option became fully vested and exercisable on September 14, 2013.
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
2018-02-14