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