0001209191-18-018969.txt : 20180312
0001209191-18-018969.hdr.sgml : 20180312
20180312192126
ACCESSION NUMBER: 0001209191-18-018969
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180308
FILED AS OF DATE: 20180312
DATE AS OF CHANGE: 20180312
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: 18684880
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
2018-03-08
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
2018-03-08
4
C
0
300
0.00
A
60281
D
Class A Common Stock
2018-03-08
4
S
0
300
29.95
D
59981
D
Stock Option (right to buy)
0.72
2018-03-08
4
M
0
300
0.00
D
2019-09-16
Class B Common Stock
300
124899
D
Class B Common Stock
2018-03-08
4
M
0
300
0.00
A
Class A Common Stock
300
300
D
Class B Common Stock
2018-03-08
4
C
0
300
0.00
D
Class A Common Stock
300
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 881 shares of Class A Common Stock.
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.
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
2018-03-12