0000899243-19-001080.txt : 20190111 0000899243-19-001080.hdr.sgml : 20190111 20190111213324 ACCESSION NUMBER: 0000899243-19-001080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190110 FILED AS OF DATE: 20190111 DATE AS OF CHANGE: 20190111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klein Peter S CENTRAL INDEX KEY: 0001478007 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37885 FILM NUMBER: 19523515 MAIL ADDRESS: STREET 1: C/O MICROSOFT CORPORATION STREET 2: ONE MICROSOFT WAY CITY: REDMOND STATE: WA ZIP: 98052-6399 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-01-10 1 0001419625 Apptio Inc APTI 0001478007 Klein Peter S 11100 NE 8TH STREET, SUITE 600 BELLEVUE WA 98004 1 0 0 0 Class A Common Stock 2019-01-10 4 D 0 13337 D 0 D Stock Option (right to buy) 9.01 2019-01-10 4 D 0 48127 D 2023-11-07 Common Stock 48127 0 D Stock Option (right to buy) 14.31 2019-01-10 4 D 0 30000 D 2025-11-05 Common Stock 30000 0 D Includes 4,652 restricted stock units that represent contingent rights to receive 4,652 shares of the Issuer's Class A Common Stock upon settlement, which vested solely as a result of the consummation of the merger agreement between Apptio, Inc., Bellevue Parent, LLC, and Bellevue Merger Sub, Inc. (the "Merger Agreement") and which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share. Disposed of pursuant to the Merger Agreement. in exchange for a cash payment of $38.00 per share. Consists of vested options which vested solely as a result of the consummation of the Merger Agreement, which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes. 1/4th of the shares subject to the option became vested on November 8, 2014 and 1/48th of the shares subject to the option vest monthly thereafter. The option is subject to an early exercise right and may be exercised in full prior to the vesting of the shares underlying the option, subject to the issuer's right of repurchase. Includes 22,455 vested options, which as of the consummation of the Merger Agreement were cancelled and automatically converted into the right to received $38.00 per share, less the applicable per share exercise price and subject to any applicable withholding taxes. Includes 7,545 options, which vested solely as a result of the consummation of the Merger Agreement, which were cancelled and automatically converted into the right to receive a cash payment of $38.00 per share, less the applicable exercise price of the option, subject to any required withholding of taxes. 1/3rd of the shares subject to the option shall become vested on September 29, 2017 and 1/36th of the shares subject to the option shall vest monthly thereafter for the next 24 months. The option is subject to an early exercise right and may be exercised in full prior to the vesting of the shares underlying the option, subject to the issuer's right of repurchase. /s/ John Morrow Attorney-in-Fact for Peter Klein 2019-01-11