0001445305-23-000018.txt : 20230203
0001445305-23-000018.hdr.sgml : 20230203
20230203161515
ACCESSION NUMBER: 0001445305-23-000018
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230201
FILED AS OF DATE: 20230203
DATE AS OF CHANGE: 20230203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VANDERPLOEG MARTIN J.
CENTRAL INDEX KEY: 0001014008
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36773
FILM NUMBER: 23585942
MAIL ADDRESS:
STREET 1: 2900 UNIVERSITY BLVD.
CITY: AMES
STATE: IA
ZIP: 50010
FORMER NAME:
FORMER CONFORMED NAME: VANDERPLOEG MARTIN J
DATE OF NAME CHANGE: 19960510
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_167545887053275.xml
FORM 4
X0306
4
2023-02-01
0
0001445305
WORKIVA INC
WK
0001014008
VANDERPLOEG MARTIN J.
2900 UNIVERSITY BOULEVARD
AMES
IA
50010
1
1
0
0
CEO
Class A Common Stock
2023-02-01
4
A
0
67356
92.79
A
460329
D
Class A Common Stock
2023-02-01
4
F
0
10647
92.79
D
449682
D
Class A Common Stock
218220
I
By living trust
Class B Common Stock
Class A Common Stock
710562.0
710562
I
By living trust
Class B Common Stock
Class A Common Stock
491270.0
491270
I
By charitable remainder trust
Employee Stock Option to Purchase Class A Common Stock
14.74
2017-02-01
2026-01-31
Class A Common Stock
84210.0
84210
D
Employee Stock Option to Purchase Class A Common Stock
12.4
2018-02-01
2027-01-31
Class A Common Stock
200204.0
200204
D
Grant of restricted stock units pursuant to the 2014 Equity Incentive Plan.
Vests in three equal annual installments commencing on the first anniversary of the grant date.
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).
Grant of stock option pursuant to the 2014 Equity Incentive Plan.
/s/ Brandon E. Ziegler as attorney-in-fact for Martin J. Vanderploeg
2023-02-03