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*
Meritech Capital Associates V L.L.C.

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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
Class B Common Stock (1) (1) Class A Common Stock 2,452,343 (1) I See footnote(2)
Class B Common Stock (1) (1) Class A Common Stock 71,423 (1) I See footnote(3)
1. Name and Address of Reporting Person*
Meritech Capital Associates V L.L.C.

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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*
Meritech Capital Partners V L.P.

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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*
Meritech Capital Affiliates V L.P.

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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*
Sherman Craig

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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*
MADERA PAUL S

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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*
GORDON MICHAEL B

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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*
Bischof George

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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*
Ward Rob

(Last) (First) (Middle)
245 LYTTON AVE
SUITE 125

(Street)
PALO ALTO CA 94301

(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 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.
2. Shares are held by Meritech Capital Partners V L.P. ("MCP V"). Meritech Capital Associates V L.L.C. ("GP V"), the general partner of MCP V, has sole voting and dispositive power with respect to the shares held by MCP V. Paul S. Madera, Michael B. Gordon, Robert D. Ward, George H. Bischof and Craig Sherman, the managing members of GP V, share voting and dispositive power with respect to the shares held by MCP V. Such persons and entities disclaim beneficial ownership of the securities held by MCP V except to the extent of any pecuniary interest therein.
3. Shares are held by Meritech Capital Affiliates V L.P. ("MCA V"). Meritech Capital Associates V L.L.C. ("GP V"), the general partner of MCA V, has sole voting and dispositive power with respect to the shares held by MCA V. Paul S. Madera, Michael B. Gordon, Robert D. Ward, George H. Bischof and Craig Sherman, the managing members of GP V, share voting and dispositive power with respect to the shares held by MCA V. Such persons and entities disclaim beneficial ownership of the securities held by MCA V except to the extent of any pecuniary interest therein.
Remarks:
Meritech Capital Associates V L.L.C. /s/ Joel Backman, Attorney-in-fact 03/23/2017
Meritech Capital Partners V L.P., by Meritech Capital Associates V L.L.C., its general partner /s/ Joel Backman, Attorney-in-fact 03/23/2017
Meritech Capital Affiliates V L.P., by Meritech Capital Associates V L.L.C., its general partner /s/ Joel Backman, Attorney-in-fact 03/23/2017
/s/ Joel Backman, Attorney-in-fact for Craig Sherman 03/23/2017
/s/ Joel Backman, Attorney-in-fact for Paul S. Madera 03/23/2017
/s/ Joel Backman, Attorney-in-fact for Michael B. Gordon 03/23/2017
/s/ Joel Backman, Attorney-in-fact for George H. Bischof 03/23/2017
/s/ Joel Backman, Attorney-in-fact for Robert D. Ward 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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