SEC Form 4
| FORM 4 | 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 or Section 30(h) of the Investment Company Act of 1940 |
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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Alteryx, Inc. [ AYX ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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| 3. Date of Earliest Transaction (Month/Day/Year) 03/14/2022 | ||||||||||||||||||||||||||
| 4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 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 | ||||||
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (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: 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 | ||||||||
| Performance Stock Units (Class A Common Stock) | (1) | 03/14/2022 | A | 1,500,000 | (2)(3) | 09/13/2029 | Class A Common Stock | 1,500,000 | $0.00 | 1,500,000 | D | ||||
| Explanation of Responses: |
| 1. Each performance-based restricted stock unit ("PSU") award represents a contingent right to receive one share of the Issuer's Class A Common Stock at the time the shares are earned and settled for no consideration. Shares of the Issuer's Class A Common Stock will be delivered to the Reporting Person following vesting. |
| 2. The shares subject to the PSU award will vest in six segments as follows, based on the respective stock price targets for the Issuer's Class A Common Stock: (i) 300,000 shares will vest at a stock price target of $90.00; (ii) 300,000 shares will vest at a stock price target of $120.00; (iii) 250,000 shares will vest at a stock price target of $150.00; (iv) 225,000 shares will vest at a stock price target of $180.00; (v) 215,000 shares will vest at a stock price target of $210.00; and (vi) 210,000 shares will vest at a stock price target of $240.00, subject in each case to the status of "Participant's Service" (as defined in the 2017 Equity Incentive Plan) through each vesting date. The shares subject to the PSU award will vest only if the stock price is sustained at or above the respective target level over a continuous 60-trading day period. If none of the six stock price targets are achieved within a seven-year period from the grant date, no shares subject to the PSU award will vest. |
| 3. Notwithstanding any earlier achievement of a stock price target, no portion of the PSU award that is achieved will vest prior to the two-year anniversary of the grant date of the award. |
| Remarks: |
| /s/ Christopher M. Lal, by power of attorney | 03/16/2022 | |
| ** Signature of Reporting Person | Date | |
| 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). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||