0001441683-24-000005.txt : 20240103 0001441683-24-000005.hdr.sgml : 20240103 20240103163727 ACCESSION NUMBER: 0001441683-24-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240102 FILED AS OF DATE: 20240103 DATE AS OF CHANGE: 20240103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kilberg Bobbie G CENTRAL INDEX KEY: 0001362638 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38098 FILM NUMBER: 24507281 MAIL ADDRESS: STREET 1: NORTHERN VIRGINIA TECHNOLOGY COUNCIL STREET 2: 2214 ROCKHILL ROAD, SUITE 300 CITY: HERNDON STATE: VA ZIP: 20171 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: APPIAN CORP CENTRAL INDEX KEY: 0001441683 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] ORGANIZATION NAME: 06 Technology IRS NUMBER: 541956084 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7950 JONES BRANCH DRIVE CITY: MCLEAN STATE: VA ZIP: 22102 BUSINESS PHONE: 703-442-8844 MAIL ADDRESS: STREET 1: 7950 JONES BRANCH DRIVE CITY: MCLEAN STATE: VA ZIP: 22102 4 1 wk-form4_1704317833.xml FORM 4 X0508 4 2024-01-02 0 0001441683 APPIAN CORP APPN 0001362638 Kilberg Bobbie G C/O APPIAN CORPORATION 7950 JONES BRANCH DRIVE MCLEAN VA 22102 1 0 0 0 0 Class A Common Stock 2024-01-02 4 A 0 829 0 A 4598 D Class A Common Stock 4143 I By trust These shares were granted under the Issuer's 2017 Equity Incentive Plan pursuant to the Issuer's Non-Employee Director Compensation Policy, as amended and approved by the Board of Directors on December 18, 2020. 1,246 shares are held by the Barbara Greene Kilberg Living Trust U/A dated July 1, 1998, of which William and Barbara Kilberg are the co-trustees; 1,246 shares held by the Kilberg Family Trust U/A dated October 13, 2021, of which Barbara Kilberg is the trustee; and 1,651 shares held by William & Barbara Kilberg Trustees of the William Kilberg Trust dated July 1, 1998 and Barbara & William Kilberg Trustees of the Barbara Kilberg Trust dated July 1, 1998, Tenants in Common. /s/ Angela Patterson, Attorney-in-Fact 2024-01-03