0001209191-18-019972.txt : 20180315
0001209191-18-019972.hdr.sgml : 20180315
20180315190527
ACCESSION NUMBER: 0001209191-18-019972
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180313
FILED AS OF DATE: 20180315
DATE AS OF CHANGE: 20180315
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: 18693794
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
2018-03-13
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
2018-03-13
4
C
0
5500
0.00
A
65481
D
Class A Common Stock
2018-03-13
4
S
0
5500
30.0447
D
59981
D
Class A Common Stock
2018-03-14
4
C
0
32399
0.00
A
92380
D
Class A Common Stock
2018-03-14
4
S
0
32399
29.9932
D
59981
D
Stock Option (right to buy)
0.72
2018-03-13
4
M
0
5500
0.00
D
2019-09-16
Class B Common Stock
5500
119399
D
Class B Common Stock
2018-03-13
4
M
0
5500
0.00
A
Class A Common Stock
5500
5500
D
Class B Common Stock
2018-03-13
4
C
0
5500
0.00
D
Class A Common Stock
5500
0
D
Stock Option (right to buy)
0.72
2018-03-14
4
M
0
32399
0.00
D
2019-09-16
Class B Common Stock
32399
87000
D
Class B Common Stock
2018-03-14
4
M
0
32399
0.00
A
Class A Common Stock
32399
32399
D
Class B Common Stock
2018-03-14
4
C
0
32399
0.00
D
Class A Common Stock
800
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 6,081 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.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $29.95 to $30.28. 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 in footnotes (4) and (7) to this Form 4.
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.
Includes 59,400 RSUs that represent contingent rights to receive 59,400 shares of the Issuer's Class A Common Stock upon settlement and 32,980 shares of Class A Common Stock.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $29.95 to $30.10.
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
2018-03-15