0001445305-24-000033.txt : 20240227 0001445305-24-000033.hdr.sgml : 20240227 20240227162641 ACCESSION NUMBER: 0001445305-24-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240223 FILED AS OF DATE: 20240227 DATE AS OF CHANGE: 20240227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Herz Robert H CENTRAL INDEX KEY: 0001523753 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36773 FILM NUMBER: 24687255 MAIL ADDRESS: STREET 1: C/O FANNIE MAE STREET 2: 1100 15TH STREET, NW CITY: WASHINGTON STATE: DC ZIP: 20005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WORKIVA INC CENTRAL INDEX KEY: 0001445305 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] ORGANIZATION NAME: 06 Technology IRS NUMBER: 472509828 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 BUSINESS PHONE: (515) 817-6100 MAIL ADDRESS: STREET 1: 2900 UNIVERSITY BLVD. CITY: AMES STATE: IA ZIP: 50010 FORMER COMPANY: FORMER CONFORMED NAME: WORKIVA INC. DATE OF NAME CHANGE: 20141212 FORMER COMPANY: FORMER CONFORMED NAME: WORKIVA LLC DATE OF NAME CHANGE: 20140701 FORMER COMPANY: FORMER CONFORMED NAME: WEBFILINGS LLC DATE OF NAME CHANGE: 20091013 4 1 wk-form4_1709069188.xml FORM 4 X0508 4 2024-02-23 0 0001445305 WORKIVA INC WK 0001523753 Herz Robert H 2900 UNIVERSITY BOULEVARD AMES IA 50010 1 0 0 0 0 Class A Common Stock 2024-02-23 4 J 0 11793 86.05 A 35444 D Class A Common Stock 2024-02-23 4 J 0 11793 86.05 D 43109 I By Trust On February 23, 2024, Mr. Herz withdrew 11,793 shares of Class A Common Stock from the Robert H. Herz Irrevocable Trust in exchange for a promissory note. In addition, on February 23, 2024, Mr. Herz exchanged 12,500 shares of Class A Common Stock with the Robert H. Herz Irrevocable Trust on a one for one basis without additional consideration, such that the final amount of Class A Common Stock owned by each of Mr. Herz and the Robert H. Herz Irrevocable Trust following the share exchange remained unchanged. Mr. Herz believes that each of these exchanges constitutes a change in the form of beneficial ownership of the shares, exempt under Rule 16a-13 of the Securities Exchange Act of 1934. The price reported in column 4 reflects the average of the high and low price of the Class A Common Stock on the New York Stock Exchange on February 23, 2024. /s/ Brandon E. Ziegler as attorney-in-fact for Robert H. Herz 2024-02-27