0001209191-18-043954.txt : 20180725
0001209191-18-043954.hdr.sgml : 20180725
20180725201125
ACCESSION NUMBER: 0001209191-18-043954
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180724
FILED AS OF DATE: 20180725
DATE AS OF CHANGE: 20180725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mulligan Michael J.
CENTRAL INDEX KEY: 0001706773
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38098
FILM NUMBER: 18969742
MAIL ADDRESS:
STREET 1: 11955 DEMOCRACY DRIVE
STREET 2: SUITE 1700
CITY: RESTON
STATE: VA
ZIP: 20190
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: APPIAN CORP
CENTRAL INDEX KEY: 0001441683
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 541956084
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11955 DEMOCRACY DRIVE
STREET 2: SUITE 1700
CITY: RESTON
STATE: VA
ZIP: 20190
BUSINESS PHONE: 703-442-8844
MAIL ADDRESS:
STREET 1: 11955 DEMOCRACY DRIVE
STREET 2: SUITE 1700
CITY: RESTON
STATE: VA
ZIP: 20190
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-07-24
0
0001441683
APPIAN CORP
APPN
0001706773
Mulligan Michael J.
C/O APPIAN CORPORATION
11955 DEMOCRACY DRIVE, SUITE 1700
RESTON
VA
20190
1
0
0
0
Class A Common Stock
2018-07-24
4
C
0
35000
A
39475
D
Class A Common Stock
1396
I
See Footnote
Stock Option (Right to Buy)
0.58
2018-07-24
4
M
0
35000
0.00
D
2018-10-01
Class B Common Stock
35000
35602
D
Class B Common Stock
2018-07-24
4
M
0
35000
0.58
A
Class A Common Stock
35000
35000
D
Class B Common Stock
2018-07-24
4
M
0
35000
0.00
D
Class A Common Stock
35000
0
D
Pursuant to the terms of the Class B Common Stock, the Reporting Person converted shares of Class B Common Stock into shares of Class A Common Stock.
Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock and has no expiration date. In addition, each share of Class B Common Stock will convert automatically into one share of Class A Common Stock upon (1) any transfer, whether or not for value and whether voluntary or involuntary or by operation of law, except for certain transfers described in the Issuer's certificate of incorporation, including, without limitation, certain transfers for tax and estate planning purposes or (continued to Footnote (3))
(continued from Footnote (2)) (2) the death or disability, as defined in the Issuer's certificate of incorporation, of the applicable Class B common stockholder (or nine months after the date of death or disability if the stockholder is one of the Issuer's founders). In addition, on the first trading day following the date on which the outstanding shares of Class B Common Stock represent less than 10% of the aggregate voting power of the Issuer's then outstanding capital stock, all outstanding shares of Class B Common Stock shall convert automatically into Class A Common Stock, and no additional shares of Class B Common Stock will be issued.
The reported securities are owned directly by Sea Level Investments ("SLI"). The Reporting Person is the president of SLI.
Fully vested.
/s/ Christopher Winters, Attorney-in-Fact
2018-07-25