SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Potter Charles M.

(Last) (First) (Middle)
C/O QLIKTECH INTERNATIONAL AB
SCHEELEV?GEN 24-26

(Street)
LUND V7 SE-223 63

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/09/2015
3. Issuer Name and Ticker or Trading Symbol
QLIK TECHNOLOGIES INC [ QLIK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Global Engineering
5. If Amendment, Date of Original Filed (Month/Day/Year)
04/15/2015
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock-Settled Stock Appreciation Right (1) 03/07/2024 Common Stock 150,000 $30 D
Explanation of Responses:
1. The Stock-Settled Stock Appreciation Right shall vest with respect to one-quarter (1/4) of the shares of stock on January 20, 2015 (the "Initial Vesting Date"), provided the Reporting Person remains continuously employed by the Issuer through the Initial Vesting Date; and shall vest with respect to three-quarters (3/4) of the shares of stock in equal increments quarterly over the three (3) years beginning on the date three (3) months from the Initial Vesting Date, provided the Reporting Person remains continuously employed by the Issuer through the last day of each quarterly period.
Remarks:
The sole purpose of this Form 3 Amendment is to add the Reporting Person's Power of Attorney to the initial Form 3 filed on April 15, 2015. Exhibit List Exhibit 24 - Power of Attorney
/s/ Deborah C. Lofton, Attorney-in-Fact for Charles M. Potter 04/16/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.