0001144204-17-062473.txt : 20171205
0001144204-17-062473.hdr.sgml : 20171205
20171205190317
ACCESSION NUMBER: 0001144204-17-062473
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171201
FILED AS OF DATE: 20171205
DATE AS OF CHANGE: 20171205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Das Jayendra
CENTRAL INDEX KEY: 0001604190
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38034
FILM NUMBER: 171240841
MAIL ADDRESS:
STREET 1: C/O SAP VENTURES
STREET 2: 3408 HILLVIEW AVE., BUILDING 5
CITY: PALO ALTO
STATE: CA
ZIP: 94304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Alteryx, Inc.
CENTRAL INDEX KEY: 0001689923
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 900673106
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3345 MICHELSON DRIVE
STREET 2: SUITE 400
CITY: IRVINE
STATE: CA
ZIP: 92612
BUSINESS PHONE: (888) 836-4274
MAIL ADDRESS:
STREET 1: 3345 MICHELSON DRIVE
STREET 2: SUITE 400
CITY: IRVINE
STATE: CA
ZIP: 92612
4
1
tv480887_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-12-01
0
0001689923
Alteryx, Inc.
AYX
0001604190
Das Jayendra
C/O SAPPHIRE VENTURES
3408 HILLVIEW AVENUE
PALO ALTO
CA
94304
1
0
0
0
Class A Common Stock
2017-12-01
4
C
0
1092283
A
1092283
I
By Sapphire Ventures Fund I, L.P.
Class A Common Stock
10714
D
Class B Common Stock
2017-12-01
4
C
0
1092283
D
Class A Common Stock
1092283
0
I
By Sapphire Ventures Fund I, L.P.
Each share of Class B Common Stock is convertible, at any time at the option of the holder, into one (1) share of Class A Common Stock. In addition, each share of Class B Common Stock will convert automatically into one (1) share of Class A Common Stock upon the transfer, whether or not for value, to any transferee who is not a "Permitted Transferee", as defined in the Issuer's Restated Certificate of Incorporation in effect as of the date hereof. The shares of Class B Common Stock have no expiration date.
Held directly by Sapphire Ventures Fund I, L.P. ("Sapphire LP"). The Reporting Person is a managing member of Sapphire Ventures (GPE) I, L.L.C., the general partner of Sapphire LP, and as such shares voting and dispositive power with regard to the shares directly held by Sapphire LP. The Reporting Person disclaims beneficial ownership over such shares, except to the extent of any pecuniary interest therein.
Represents an award of restricted stock units ("RSUs"). The RSUs vest as to 100% of the shares at the earlier date of: (i) the Issuer's 2018 Annual Meeting of Stockholders or (ii) March 24, 2018. Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement for no consideration. Shares of the Issuer's Class A Common Stock will be delivered to the Reporting Person following vesting.
Under Sapphire Ventures (GPE) I, LLC's ("Sapphire") operating agreement, the Reporting Person is deemed to hold the common stock for the benefit of Sapphire. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
Each share of Class B Common Stock will convert automatically into one (1) share of Class A Common Stock upon the earliest to occur of the following: (a) the date specified by a vote of the holders of 66 2/3% of the outstanding shares of Class B Common Stock, (b) March 29, 2027, and (c) the date the shares of Class B Common Stock cease to represent at least 10% of all outstanding shares of Common Stock. The shares of Class A Common Stock and Class B Common Stock have no expiration date.
/s/ Jayendra Das
2017-12-05