0001441683-21-000056.txt : 20210702 0001441683-21-000056.hdr.sgml : 20210702 20210702163623 ACCESSION NUMBER: 0001441683-21-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 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: 211070737 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: 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 4 1 wf-form4_162525812724572.xml FORM 4 X0306 4 2021-07-01 0 0001441683 APPIAN CORP APPN 0001706773 Mulligan Michael J. C/O APPIAN CORPORATION 7950 JONES BRANCH DRIVE MCLEAN VA 22102 1 0 0 0 Class A Common Stock 2021-07-01 4 A 0 226 0 A 20908 D Class A Common Stock 3070 I See Footnote These shares were granted under the Issuer's 2017 Equity Incentive Plan pursuant to the Issuer's Non-Employee Director Compensation Policy, as amended and approved by the Board of Directors on December 18, 2020. The reported securities are owned directly by Sea Level Investments ("SLI"). The Reporting Person is the president of SLI. /s/ Angela Patterson, Attorney-in-Fact 2021-07-02