0001441683-17-000044.txt : 20171121
0001441683-17-000044.hdr.sgml : 20171121
20171121083217
ACCESSION NUMBER: 0001441683-17-000044
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171120
FILED AS OF DATE: 20171121
DATE AS OF CHANGE: 20171121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lynch Mark Steven
CENTRAL INDEX KEY: 0001707384
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38098
FILM NUMBER: 171215422
MAIL ADDRESS:
STREET 1: 11955 DEMOCRACY DRIVE
STREET 2: SUITE 1700
CITY: RESTON
STATE: VA
ZIP: 20190
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: APPIAN CORP
CENTRAL INDEX KEY: 0001441683
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 541956084
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11955 DEMOCRACY DRIVE
STREET 2: SUITE 1700
CITY: RESTON
STATE: VA
ZIP: 20190
BUSINESS PHONE: 703-442-8844
MAIL ADDRESS:
STREET 1: 11955 DEMOCRACY DRIVE
STREET 2: SUITE 1700
CITY: RESTON
STATE: VA
ZIP: 20190
4
1
wf-form4_151127112308343.xml
FORM 4
X0306
4
2017-11-20
0
0001441683
APPIAN CORP
APPN
0001707384
Lynch Mark Steven
C/O APPIAN CORPORATION
11955 DEMOCRACY DRIVE, SUITE 1700
RESTON
VA
20190
0
1
0
0
Chief Financial Officer
Class A Common Stock
2017-11-20
4
C
0
75200
A
75200
D
Class A Common Stock
2017-11-20
4
S
0
75200
19.49
D
0
D
Class B Common Stock
2017-11-20
4
C
0
75200
0
D
Class A Common Stock
75200.0
0
D
Pursuant to the terms of the Class B Common Stock, the Reporting Person converted shares of Class B Common Stock into shares of Class A Common Stock.
Each share of Class B Common Stock is convertible at any time at the option of the holder into one share of Class A Common Stock and has no expiration date. In addition, each share of Class B Common Stock will convert automatically into one share of Class A Common Stock upon (1) any transfer, whether or not for value and whether voluntary or involuntary or by operation of law, except for certain transfers described in the Issuer's certificate of incorporation, including, without limitation, certain transfers for tax and estate planning purposes or (continued to Footnote (3))
(continued from Footnote (2)) (2) the death or disability, as defined in the Issuer's certificate of incorporation, of the applicable Class B common stockholder (or nine months after the date of death or disability if the stockholder is one of the Issuer's founders). In addition, on the first trading day following the date on which the outstanding shares of Class B Common Stock represent less than 10% of the aggregate voting power of the Issuer's then outstanding capital stock, all outstanding shares of Class B Common Stock shall convert automatically into Class A Common Stock, and no additional shares of Class B Common Stock will be issued.
/s/ Lauren Ackermann, Attorney-in-Fact
2017-11-21