0001209191-18-053304.txt : 20181002
0001209191-18-053304.hdr.sgml : 20181002
20181002171944
ACCESSION NUMBER: 0001209191-18-053304
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180928
FILED AS OF DATE: 20181002
DATE AS OF CHANGE: 20181002
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: 181102564
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
2018-09-28
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
2018-09-28
4
J
0
1188
0.00
A
2584
I
See Footnote
Class A Common Stock
2018-10-01
4
A
0
604
0.00
A
75681
D
Represents a pro rata distribution without additional consideration by Novak Biddle Venture Partners V, L.P. to its limited partners.
The reported securities are owned directly by Sea Level Investments ("SLI"). The Reporting Person is the president of SLI.
These shares were granted under the Issuer's 2017 Equity Incentive Plan pursuant to the Issuer's Non-Employee Director Compensation Policy approved by the Board of Directors on May 10, 2017.
/s/ Christopher Winters, Attorney-in-Fact
2018-10-02