0001441683-21-000009.txt : 20210212 0001441683-21-000009.hdr.sgml : 20210212 20210212145022 ACCESSION NUMBER: 0001441683-21-000009 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210212 DATE AS OF CHANGE: 20210212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cross Eric Calvin CENTRAL INDEX KEY: 0001811936 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38098 FILM NUMBER: 21626048 MAIL ADDRESS: STREET 1: C/O APPIAN CORPORATION STREET 2: 7950 JONES BRANCH DRIVE CITY: TYSONS STATE: VA ZIP: 22102 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: 7950 JONES BRANCH DRIVE CITY: TYSONS STATE: VA ZIP: 22102 BUSINESS PHONE: 703-442-8844 MAIL ADDRESS: STREET 1: 7950 JONES BRANCH DRIVE CITY: TYSONS STATE: VA ZIP: 22102 5 1 wf-form5_161315940448026.xml FORM 5 X0306 5 2020-12-31 0 0 1 0001441683 APPIAN CORP APPN 0001811936 Cross Eric Calvin 7950 JONES BRANCH DRIVE MCLEAN VA 22102 0 1 0 0 Chief Revenue Officer Restricted Stock Unit 2020-06-04 4 A 0 L 25796 0 A Class A Common Stock 25796.0 25796 D Each restricted stock unit ("RSU") represents a contingent right to receive one share of Issuer's Class A Common Stock (or its cash equivalent, at the discretion of the Issuer). 7,524 of the RSUs will vest on each of 5/5/2021, 5/5/2022 and 5/5/2023, and 3,224 of the RSUs will vest on 5/5/2024, provided that the Reporting Person has provided continuous service to the Issuer through each vesting date. /s/ Angela Patterson, Attorney-in-Fact 2021-02-12