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*
Sapphire Ventures (GPE) I, L.L.C.

(Last) (First) (Middle)
3408 HILLVIEW AVENUE
BLDG. 5

(Street)
PALO ALTO CA 94304

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/23/2017
3. Issuer Name and Ticker or Trading Symbol
Alteryx, Inc. [ AYX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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
Series A Preferred Stock (1) (1) Class B Common Stock(2)(3) 5,491,893 (2)(3) I By Sapphire Ventures Fund I, L.P.(4)
Series B Preferred Stock (1) (1) Class B Common Stock(2)(3) 700,390 (2)(3) I By Sapphire Ventures Fund I, L.P.(4)
1. Name and Address of Reporting Person*
Sapphire Ventures (GPE) I, L.L.C.

(Last) (First) (Middle)
3408 HILLVIEW AVENUE
BLDG. 5

(Street)
PALO ALTO CA 94304

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Sapphire Ventures Fund I, L.P.

(Last) (First) (Middle)
3408 HILLVIEW AVENUE
BLDG 5

(Street)
PALO ALTO CA 94304

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
MARAKOVIC NINO NIKOLA

(Last) (First) (Middle)
C/O SAPPHIRE VENTURES
3408 HILLVIEW AVENUE

(Street)
PALO ALTO CA 94304

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Each share of Preferred Stock will be automatically converted into one (1) share of Class B Common Stock immediately prior to the consummation of the Issuer's initial public offering (the "IPO"), and has no expiration date.
2. 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, pursuant to the Issuer's Restated Certificate of Incorporation (the "Post-Effective Certificate") that will be effective upon the consummation of the Issuer's initial public offering, 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 Post-Effective Certificate. The shares of Class B Common Stock have no expiration date.
3. 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 23, 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.
4. Held directly by Sapphire Ventures Fund I, L.P. ("Sapphire LP"). Sapphire Ventures (GPE) I, L.L.C. ("Sapphire GP"), is the general partner of Sapphire LP. Nino N. Marakovic, Richard Douglas Higgins, Jayendra Das, David A. Hartwig, and Andreas M. Weiskam, as the managing members of Sapphire GP, may be deemed to share voting and dispositive power over the shares held by Sapphire LP. The managing members disclaim beneficial ownership over such shares, except to the extent of any pecuniary interest therein.
Sapphire Ventures (GPE) I, L.L.C. /s/ Nino Nikola Marakovic as Managing Member 03/23/2017
Sapphire Ventures Fund I, L.P. /s/ Nino Nikola Marakovic, as Managing Member of Sapphire Ventures (GPE) I, L.L.C., its general partner 03/23/2017
/s/ Nino Nikola Marakovic 03/23/2017
** 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).
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