Sec Form 4 Filing - TROM JEFF D. @ WORKIVA INC - 2021-10-25

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
TROM JEFF D.
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)
Executive VP & CTO
(Last) (First) (Middle)
2900 UNIVERSITY BOULEVARD
3. Date of Earliest Transaction (MM/DD/YY)
10/25/2021
(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 10/25/2021 S( 1 ) 10,690 D $ 148.48 ( 2 ) 79,310 I By revocable trust
Class A Common Stock 10/25/2021 S( 1 ) 7,998 D $ 149.48 ( 3 ) 71,312 I By revocable trust
Class A Common Stock 10/25/2021 S( 1 ) 6,312 D $ 150.51 ( 4 ) 65,000 I By revocable trust
Class A Common Stock 283,577 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
Class B Common Stock ( 5 ) ( 5 ) ( 5 ) ( 5 ) Class A Common Stock 113,645 113,645 I By revocable trust
Class B Common Stock ( 5 ) ( 5 ) ( 5 ) ( 5 ) Class A Common Stock 328,402 328,402 I By revocable trust
Class B Common Stock ( 5 ) ( 5 ) ( 5 ) ( 5 ) Class A Common Stock 57,000 57,000 I By irrevocable trust
Class B Common Stock ( 5 ) ( 5 ) ( 5 ) ( 5 ) Class A Common Stock 57,000 57,000 I By irrevocable trust
Class B Common Stock ( 5 ) ( 5 ) ( 5 ) ( 5 ) Class A Common Stock 57,000 57,000 I By irrevocable trust
Employee Stock Option to Purchase Class A Common Stock ( 6 ) $ 12.4 02/01/2018( 7 ) 01/31/2027 Class A Common Stock 25,215 25,215 D
Employee Stock Option to Purchase Class A Common Stock ( 6 ) $ 14.74 02/01/2017( 7 ) 01/31/2026 Class A Common Stock 21,212 21,212 D
Employee Stock Option to Purchase Class A Common Stock ( 8 ) $ 15.83 08/12/2015( 9 ) 08/11/2024 Class A Common Stock 159,592 159,592 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
TROM JEFF D.
2900 UNIVERSITY BOULEVARD
AMES, IA50010
Executive VP & CTO
Signatures
/s/ Brandon E. Ziegler as attorney-in-fact for Jeffrey D. Trom 10/27/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on December 15, 2020 in accordance with Rule 10b5-1 of Securities Exchange Act of 1934, as amended. This Rule 10b5-1 plan provides for fixed sales of a total of up to 300,000 shares of stock options and Class A Common Stock through January 2022.
( 2 )The price reported in Column 4 is a weighted-average price. The price actually received ranges from $148.11 to $149.08. For all transactions reported in this Form 4 utilizing a weighted-average price, the Reporting Person undertakes to provide upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range.
( 3 )The price reported in Column 4 is a weighted-average price. The price actually received ranges from $149.11 to $150.04. For all transactions reported in this Form 4 utilizing a weighted-average price, the Reporting Person undertakes to provide upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range.
( 4 )The price reported in Column 4 is a weighted-average price. The price actually received ranges from $150.17 to $151.01. For all transactions reported in this Form 4 utilizing a weighted-average price, the Reporting Person undertakes to provide upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range.
( 5 )Each share of Class B Common Stock is convertible, at any time at the election of the holder, into one share of Class A Common Stock. In addition, each share of Class B Common Stock will convert automatically into one share of Class A Common Stock upon (i) the date specified by the holders of at least 66 2/3% of the outstanding shares of Class B Common Stock, (ii) any transfer, except for certain "qualified transfers" (as defined in the Issuer's Certificate of Incorporation) or (iii) upon the death of a natural person holding shares of Class B Common Stock (subject to certain exceptions as defined in the Issuer's Certificate of Incorporation).
( 6 )Granted pursuant to the 2014 Equity Incentive Plan.
( 7 )Vests in three equal annual installments commencing on the first anniversary of the grant date.
( 8 )Granted pursuant to 2009 Unit Incentive Plan.
( 9 )Vests as to 25% of the shares on the first anniversary of the grant date and as to 6.25% of the shares at the end of each three-month period thereafter.

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