0001209191-18-029661.txt : 20180511
0001209191-18-029661.hdr.sgml : 20180511
20180511181656
ACCESSION NUMBER: 0001209191-18-029661
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180509
FILED AS OF DATE: 20180511
DATE AS OF CHANGE: 20180511
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: 18828219
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
2018-05-09
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
2018-05-09
4
C
0
29000
0.00
A
88981
D
Class A Common Stock
2018-05-09
4
C
0
7900
0.00
A
96881
D
Class A Common Stock
2018-05-09
4
S
0
36900
32.0302
D
59981
D
Stock Option (right to buy)
0.72
2018-05-09
4
M
0
29000
0.00
D
2019-09-16
Class B Common Stock
29000
58000
D
Class B Common Stock
0.00
2018-05-09
4
M
0
29000
0.00
A
Class A Common Stock
29000
29000
D
Class B Common Stock
0.00
2018-05-09
4
C
0
29000
0.00
D
Class A Common Stock
29000
0
D
Stock Option (right to buy)
0.86
2018-05-09
4
M
0
7900
0.00
D
2020-02-18
Class B Common Stock
7900
0
D
Class B Common Stock
0.00
2018-05-09
4
M
0
7900
0.00
A
Class A Common Stock
7900
7900
D
Class B Common Stock
0.00
2018-05-09
4
C
0
7900
0.00
D
Class A Common Stock
7900
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 29,581 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 37,481 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 March 2, 2018.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $31.82 to $32.42. 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 range 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/ John Morrow, attorney-in-fact
2018-05-11