0000899243-16-029812.txt : 20160922 0000899243-16-029812.hdr.sgml : 20160922 20160922203159 ACCESSION NUMBER: 0000899243-16-029812 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160922 FILED AS OF DATE: 20160922 DATE AS OF CHANGE: 20160922 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Apptio Inc CENTRAL INDEX KEY: 0001419625 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 261175252 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11100 NE 8TH STREET STREET 2: SUITE 600 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425-453-5861 MAIL ADDRESS: STREET 1: 11100 NE 8TH STREET STREET 2: SUITE 600 CITY: BELLEVUE STATE: WA ZIP: 98004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blasko Lawrence CENTRAL INDEX KEY: 0001685070 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 161898551 MAIL ADDRESS: STREET 1: 11100 NE 8TH ST #600 CITY: BELLEVUE STATE: WA ZIP: 98004 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2016-09-22 0 0001419625 Apptio Inc APTI 0001685070 Blasko Lawrence 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 0 1 0 0 Chief Revenue Officer Stock Option (right to buy) 0.72 2019-09-16 Class B Common Stock 217000 D Stock Option (right to buy) 0.86 2020-02-18 Class B Common Stock 7900 D Stock Option (right to buy) 6.03 2022-11-07 Class B Common Stock 30000 D Stock Option (right to buy) 8.95 2023-06-14 Class B Common Stock 90000 D Stock Option (right to buy) 11.46 2024-06-17 Class B Common Stock 25000 D Stock Option (right to buy) 13.55 2025-02-19 Class B Common Stock 20000 D Stock Option (right to buy) 14.31 2025-11-05 Class B Common Stock 60000 D 1/4th of the shares subject to the option became vested and exercisable on September 14, 2010 and 1/48th of the shares subject to the option vest monthly thereafter. 1/4th of the shares subject to the option became vested and exercisable on September 14, 2010 and 1/48th of the shares subject to the option vest monthly thereafter. 1/4th of the shares subject to the option became vested and exercisable on September 14, 2013 and 1/48th of the shares subject to the option vest monthly thereafter. 1/4th of the shares subject to the option became vested and exercisable on May 29, 2014 and 1/48th of the shares subject to the option vest monthly thereafter. 1/4th of the shares subject to the option became vested and exercisable on April 1, 2015 and 1/48th of the shares subject to the option vest monthly thereafter. 1/4th of the shares subject to the option became vested and exercisable on April 1, 2016 and 1/48th of the shares subject to the option vest monthly thereafter. 1/8th of the shares subject to the option shall become vested and exercisable on May 1, 2017 and 1/96th of the shares subject to the option shall vest monthly thereafter for the next 36 months. 1/8th of the shares subject to the option shall become vested and exercisable on September 29, 2017 and 1/96th of the shares subject to the option shall vest monthly thereafter for the next 36 months. Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a one-for-one basis and has no expiration date. John Morrow, attorney-in-fact 2016-09-22 EX-24 2 attachment1.htm EX-24 DOCUMENT

                               POWER OF ATTORNEY

         The  undersigned,  as a Section 16 reporting  person of Apptio,  Inc.
(the  "Company"),  hereby  constitutes and appoints John Morrow, Todd Smith,
Frederick Williams and Jered Fahey as the undersigned's true and lawful
attorneys-in-fact, to:

         1.   Prepare, execute in the undersigned's name and on the
              undersigned's behalf, and submit to the Securities and Exchange
              Commission (the "SEC") a Form ID, including amendments thereto,
              and any other documents necessary or appropriate to obtain EDGAR
              codes and passwords enabling the undersigned to make electronic
              filings with the SEC of reports required by Section 16(a) of the
              Securities Exchange Act of 1934 or any rule or regulation of the
              SEC;

         2.   Complete and execute Forms 3, 4 and 5 and other forms and all
              amendments thereto as such attorneys-in-fact shall in their
              discretion determine to be required or advisable pursuant to
              Section 16 of the Securities Exchange Act of 1934 (as amended)
              and the rules and regulations promulgated thereunder, or any
              successor laws and regulations, as a consequence of the
              undersigned's ownership, acquisition or disposition of securities
              of the Company;

         3.   Complete and execute Forms 144 and other forms and all amendments
              thereto as such attorneys-in-fact shall in their discretion
              determine to be required or advisable pursuant to Rule 144 of the
              Securities Act of 1933 (as amended), and the rules and
              regulations promulgated thereunder, or any successor laws and
              regulations, as a consequence of the undersigned's disposition of
              securities of the Company; and

         4.   Do all acts necessary in order to file any such Forms 3, 4, 5, or
              144 with the SEC, any securities exchange or national
              association, the Company and such other person or agency as the
              attorneys-in-fact shall deem appropriate.

         The undersigned hereby ratifies and confirms all that said
attorneys-in-fact and agent shall do or cause to be done by virtue hereof. The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving in
such capacity at the request of the undersigned, are not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934 (as amended).

         This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, 5 and 144 with respect to
the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to the Company and the foregoing attorneys-in-fact.

         IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney
to be executed as of this September 13, 2016.

                               Signature:   /s/ Lawrence Blasko
                                            ---------------------------------
                                            Name: Lawrence Blasko
                                            Title: Chief Revenue Officer