0001441683-17-000052.txt : 20171211 0001441683-17-000052.hdr.sgml : 20171211 20171211161626 ACCESSION NUMBER: 0001441683-17-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171208 FILED AS OF DATE: 20171211 DATE AS OF CHANGE: 20171211 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: 171249660 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 wf-form4_151302697345825.xml FORM 4 X0306 4 2017-12-08 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 2017-12-08 4 J 0 445 0 A 445 I See Footnote Class A Common Stock 3046 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. /s/ Lauren Ackermann, Attorney-in-Fact 2017-12-11