Workiva Inc. |
(Name of Issuer) |
Class A Common Stock |
(Title of Class of Securities) |
98139A105 |
(CUSIP Number) |
December 31, 2016 |
(Date of Event Which Requires Filing of this Statement) |
o | Rule 13d-1(b) |
o | Rule 13d-1(c) |
ý | Rule 13d-1(d) |
CUSIP No. 98139A105 | |||||
1. | Name of Reporting Person: Daniel J. Murray | ||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) | ||||
(a) | o | ||||
(b) | o | ||||
3. | SEC Use Only | ||||
4. | Citizenship or Place of Organization: United States of America | ||||
Number of Shares Beneficially Owned by Each Reporting Person With: | 5. | Sole Voting Power: 1,420,455 (1) | |||
6. | Shared Voting Power: -0- | ||||
7. | Sole Dispositive Power 1,420,455 (1) | ||||
8. | Shared Dispositive Power -0- | ||||
9. | Aggregate Amount Beneficially Owned by Each Reporting Person 1,420,455 (1) | ||||
10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) o | ||||
11. | Percent of Class Represented by Amount in Row (9): 4.7% (2) | ||||
12. | Type of Reporting Person (See Instructions): IN |
(1) | Shares owned consist of shares of Class A common stock owned directly by Mr. Murray and shares of Class A common stock owned by family trusts of which Mr. Murray is the trustee. |
(2) | Based on 30,369,199 shares of Class A common stock outstanding as of December 31, 2016. |
Item 1. | |||
(a) | Name of Issuer: Workiva Inc. | ||
(b) | Address of Issuer’s Principal Executive Offices: 2900 University Blvd Ames, IA 50010 | ||
Item 2. | |||
(a) | Name of Person Filing: Daniel J. Murray | ||
(b) | Address of Principal Business Office or, if none, Residence: c/o Echo5 Management Inc. 2625 North Loop Dr. Suite 2100 Ames, IA 50010 | ||
(c) | Citizenship: United States of America | ||
(d) | Title of Class of Securities: Class A Common Stock | ||
(e) | CUSIP Number: 98139A105 | ||
Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: | ||
(a) | o | Broker or dealer registered under section 15 of the Act (15 U.S.C 78c). | |
(b) | o | Bank as defined in section 3(a) (6) of the Act (15 U.S.C 78c). | |
(c) | o | Insurance company as defined in section 3(a) (19) of the Act (15 U.S.C 78c). | |
(d) | o | Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8). | |
(e) | o | Investment adviser in accordance with SS 240. 13d-1(b) (1) (ii) (E); | |
(f) | o | Employee benefit plan or endowment fund in accordance with SS 240. 13d-1(b) (ii) (F); | |
(g) | o | Parent holding company or control person in accordance with SS.SS.240. 13d-1(b) (ii) (G); | |
(h) | o | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | |
(i) | o | A church plan that is excluded from the definition of an investment company under section 3(c) (14) of the Investment Company Act of 1940 (15 U.S.C 80a-3); | |
(j) | o | Group, in accordance with SS 240. 13d-1(b) (1) (ii) (J); |
Item 4. | Ownership | ||
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. | |||
(a) | Amount beneficially owned: 1,420,455 (1) | ||
(b) | Percent of class: 4.7% (2) | ||
(c) | Number of shares as to which the person has: | ||
(i) | Sole power to vote or to direct the vote 1,420,455 (1) | ||
(ii) | Shared power to vote or to direct the vote -0- | ||
(iii) | Sole power to dispose or to direct the disposition of 1,420,455 (1) | ||
(iv) | Shared power to dispose or to direct the disposition of -0- |
(1) | Shares owned consist of shares of Class A common stock owned directly by Mr. Murray and shares of Class A common stock owned by family trusts of which Mr. Murray is the trustee. |
(2) | Based on 30,369,199 shares of Class A common stock outstanding as of December 31, 2016. |
Item 5. | Ownership of Five Percent or Less of a Class |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following x. | |
Item 6. | Ownership of More than Five Percent on Behalf of Another Person |
Not Applicable | |
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person |
Not Applicable | |
Item 8. | Identification and Classification of Members of the Group |
Not Applicable | |
Item 9. | Notice of Dissolution of Group |
Not Applicable | |
Item 10. | Certifications |
Not Applicable |
Date: February 10, 2017 | /s/ Daniel J. Murray |
Daniel J. Murray |