0001441683-17-000053.txt : 20171211 0001441683-17-000053.hdr.sgml : 20171211 20171211161644 ACCESSION NUMBER: 0001441683-17-000053 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: Boccassam Prashanth CENTRAL INDEX KEY: 0001706771 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38098 FILM NUMBER: 171249662 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_151302699040850.xml FORM 4 X0306 4 2017-12-08 0 0001441683 APPIAN CORP APPN 0001706771 Boccassam Prashanth 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 0 222 0 A 2887 D Represents a pro rata distribution without additional consideration by Novak Biddle Venture Partners V, L.P., to its limited partners. /s/ Lauren Ackermann, Attorney-in-Fact 2017-12-11