Behar Living Trust Form 4 WORKIVA / Jerome M Behar ownership change

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^*

Behar Jerome M

(Last) (First) (Middle)

2900 UNIVERSITY BOULEVARD

(Street)

AMES IA 50010

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
WORKIVA INC [ WK ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
01/22/2018

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

	Form filed by One Reporting Person
X	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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
Class A Common Stock	12/15/2017		G	V	375	D	$0	3,547,975	I	By Behar Living Trust(1)
Class A Common Stock	12/19/2017		G	V	2,800	D	$0	3,545,175	I	By Behar Living Trust(1)
Class A Common Stock	01/22/2018		S		41,915	D	$22.15	3,503,260	I	By Behar Living Trust(1)
Class A Common Stock	01/23/2018		S		3,085	D	$22.15	3,500,175	I	By Behar Living Trust(1)
Class A Common Stock	01/24/2018		S		1,000	D	$22.15	3,499,175	I	By Behar Living Trust(1)
Class A Common Stock								3,065	I	By son

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 (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

1. Name and Address of Reporting Person^*

Behar Jerome M

(Last) (First) (Middle)

2900 UNIVERSITY BOULEVARD

(Street)

AMES IA 50010

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Behar Living Trust

(Last) (First) (Middle)

2900 UNIVERSITY BOULEVARD

(Street)

AMES IA 50010

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

Behar Leslie F.

(Last) (First) (Middle)

2900 UNIVERSITY BOULEVARD

(Street)

AMES IA 50010

(City) (State) (Zip)

Explanation of Responses:

1. Shares are owned directly by The Behar Living Trust (a 10% owner of the issuer), and indirectly by Jerome M. Behar and Leslie F. Behar as settlers of the Behar Living Trust.

Remarks:

	/s/ Jerome M. Behar	01/24/2018
	/s/ Jerome M. Behar as trustee for The Behar Living Trust	01/24/2018
	/s/ Leslie Fried Behar	01/24/2018
	** 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.
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