Sec Form 4 Filing - Klindt Jill @ WORKIVA INC - 2019-02-01

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Klindt Jill
2. Issuer Name and Ticker or Trading Symbol
WORKIVA INC [ WK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
VP, Treasurer & CAO
(Last) (First) (Middle)
2900 UNIVERSITY BOULEVARD
3. Date of Earliest Transaction (MM/DD/YY)
02/01/2019
(Street)
AMES, IA50010
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 02/01/2019 A( 1 ) 8,361 ( 2 ) A $ 41.86 40,090 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option to Purchase Class A Common Stock ( 3 ) $ 18.6 07/03/2018( 4 ) 07/02/2027 Class A Common Stock 25,000 25,000 D
Employee Stock Option to Purchase Class A Common Stock ( 3 ) $ 12.4 02/01/2018( 4 ) 02/01/2027 Class A Common Stock 10,000 10,000 D
Employee Stock Option to Purchase Class A Common Stock ( 3 ) $ 14.03 04/01/2016( 5 ) 08/31/2025 Class A Common Stock 16,000 16,000 D
Employee Stock Option to Purchase Class A Common Stock ( 6 ) $ 15.83 08/12/2015( 4 ) 08/11/2024 Class A Common Stock 11,880 11,880 D
Employee Stock Option to Purchase Class A Common Stock ( 6 ) $ 15.86 01/14/2015( 4 ) 01/13/2024 Class A Common Stock 5,544 5,544 D
Employee Stock Option to Purchase Class A Common Stock ( 6 ) $ 15.86 01/14/2014( 4 ) 01/13/2024 Class A Common Stock 911 911 D
Employee Stock Option to Purchase Class A Common Stock ( 6 ) $ 8.48 12/28/2013( 4 ) 12/27/2022 Class A Common Stock 5,940 5,940 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Klindt Jill
2900 UNIVERSITY BOULEVARD
AMES, IA50010
VP, Treasurer & CAO
Signatures
/s/ Troy M. Calkins as attorney-in-fact for Jill E. Klindt 02/05/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Grant of restricted stock units pursuant to the 2014 Equity Incentive Plan.
( 2 )Vests in three equal annual installments commencing on the first anniversary of the grant date.
( 3 )Granted pursuant to the 2014 Equity Incentive Plan.
( 4 )Vests as to 25% of the shares on the first anniversary of the grant date and then 6.25% of the shares at the end of each three-month period thereafter.
( 5 )Vests as to 25% of the shares on April 1, 2016 and as to 6.25% of the shares at the end of each three-month period thereafter.
( 6 )Granted pursuant to the 2009 Unit Incentive Plan.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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