0001445305-22-000121.txt : 20220906
0001445305-22-000121.hdr.sgml : 20220906
20220906163226
ACCESSION NUMBER: 0001445305-22-000121
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220901
FILED AS OF DATE: 20220906
DATE AS OF CHANGE: 20220906
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TROM JEFF D.
CENTRAL INDEX KEY: 0001013632
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36773
FILM NUMBER: 221228650
MAIL ADDRESS:
STREET 1: 2900 UNIVERSITY BLVD.
CITY: AMES
STATE: IA
ZIP: 50010
FORMER NAME:
FORMER CONFORMED NAME: TROM JEFF D
DATE OF NAME CHANGE: 19960506
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WORKIVA INC
CENTRAL INDEX KEY: 0001445305
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 472509828
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2900 UNIVERSITY BLVD.
CITY: AMES
STATE: IA
ZIP: 50010
BUSINESS PHONE: (515) 817-6100
MAIL ADDRESS:
STREET 1: 2900 UNIVERSITY BLVD.
CITY: AMES
STATE: IA
ZIP: 50010
FORMER COMPANY:
FORMER CONFORMED NAME: WORKIVA INC.
DATE OF NAME CHANGE: 20141212
FORMER COMPANY:
FORMER CONFORMED NAME: WORKIVA LLC
DATE OF NAME CHANGE: 20140701
FORMER COMPANY:
FORMER CONFORMED NAME: WEBFILINGS LLC
DATE OF NAME CHANGE: 20091013
4
1
wf-form4_166249633067546.xml
FORM 4
X0306
4
2022-09-01
0
0001445305
WORKIVA INC
WK
0001013632
TROM JEFF D.
2900 UNIVERSITY BOULEVARD
AMES
IA
50010
0
1
0
0
Executive VP & CTO
Class A Common Stock
2022-02-10
5
G
0
E
9947
0
D
292336
D
Class A Common Stock
2022-02-10
5
G
0
E
9947
0
A
220611
I
By revocable trust
Class A Common Stock
2022-09-01
4
F
0
1429
64.92
D
290907
D
Class B Common Stock
Class A Common Stock
328402.0
328402
I
By revocable trust
Represents a gift of securities by the reporting person to a revocable living trust.
Shares delivered to the issuer for payment of withholding taxes due upon the vesting of restricted stock units previously granted.
Each share of Class B Common Stock is convertible, at any time at the election of the holder, into one share of Class A Common Stock. In addition, each share of Class B Common Stock will convert automatically into one share of Class A Common Stock upon (i) the date specified by the holders of at least 66 2/3% of the outstanding shares of Class B Common Stock, (ii) any transfer, except for certain "qualified transfers" (as defined in the Issuer's Certificate of Incorporation) or (iii) upon the death of a natural person holding shares of Class B Common Stock (subject to certain exceptions as defined in the Issuer's Certificate of Incorporation).
/s/ Brandon E. Ziegler as attorney-in-fact for Jeffrey D. Trom
2022-09-06