Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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- Peter Lynch
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UNITED
STATES
SECURITIES AND EXCHANGE COMMISSION
SECURITIES AND EXCHANGE COMMISSION
Washington,
D.C. 20549
SCHEDULE
13G
Under
the Securities Exchange Act of 1934
(Amendment No.
01)*
Alteryx, Inc.
(Name
of Issuer)
Class A Common Stock, $0.0001 par value per share
02156B103
December 31, 2018
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o
Rule
13d-1(b)
o
Rule
13d-1(c)
x
Rule
13d-1(d)
*
The remainder of this cover page shall be filled out for a reporting person’s
initial filing on this form with respect to the subject class of securities,
and for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The
information required in the remainder of this cover page shall not be deemed to
be “filed” for the purpose of Section 18 of the Securities Exchange Act of
1934 (“Act”) or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
| CUSIP No. | 02156B103 |
| 1 | NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) | ||||
| Duane Adams Olivia | |||||
| 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 | ||||
| U.S.A. | |||||
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: | 5 | SOLE VOTING POWER | |||
| 1,652,431 (1)(2) | |||||
| 6 | SHARED VOTING POWER | ||||
| 0 | |||||
| 7 | SOLE DISPOSITIVE POWER | ||||
| 1,652,431 (1)(2) | |||||
| 8 | SHARED DISPOSITIVE POWER | ||||
| 0 | |||||
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
| 1,652,431 (1)(2) | |||||
| 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) | ||||
| 4.19 (3)% | |||||
| 12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | ||||
| IN | |||||
FOOTNOTES | |||||
| (1) 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.
(2) Consists of (i) 1,032,173 shares of Class B Common Stock held by Ms. Duane Adams, (ii) 6,994 shares of Class A Common Stock subject to options held by Ms. Duane Adams that are exercisable within 60 days of December 31, 2018, (iii) 610,738 shares of Class B Common Stock subject to options held by Ms. Duane Adams that are exercisable within 60 days of December 31, 2018, and (iv) 2,526 shares of Class A Common Stock issuable upon the settlement of restricted stock units held by Ms. Duane Adams that will vest within 60 days of December 31, 2018. (3) The percentage reported in row 11 is calculated in accordance with Rule 13d-3 based on the aggregate number of shares of Class B Common Stock beneficially owned by the Reporting Person assuming conversion of such stock into Class A Common Stock (and excluding the conversion of shares of Class B Common Stock held by other persons) and an aggregate of 37,817,085 shares of Class A common stock outstanding as of December 31, 2018, as reported by the Issuer to the Reporting Person, plus the number of shares issuable upon exercise of stock options and upon settlement of restricted stock units held by the Reporting Person, which are treated as converted into common stock only for the purpose of computing the percentage ownership of the Reporting Person. | |||||
Item
1.
(a) | Name
of Issuer |
Alteryx, Inc. |
(b) | Address
of Issuer’s Principal Executive Offices |
3345 Michelson Drive, Suite 400
Irvine, CA 92612 |
Item
2.
(a) | Name
of Person Filing |
Duane Adams Olivia |
(b) | Address
of Principal Business Office or, if none, Residence |
c/o Alteryx, Inc.
3345 Michelson Drive, Suite 400 Irvine, CA 92612 |
(c) | Citizenship |
U.S.A. |
(d) | Title
of Class of Securities |
Class A Common Stock, $0.0001 par value per share |
(e) | CUSIP
Number |
02156B103 |
Item
3. | If
this st
atement 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. 78o). |
(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 | An
investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); |
(f) | o | An
employee benefit plan or endowment fund in accordance with
§240.13d-1(b)(1)(ii)(F); |
(g) | o | A
parent holding company or control person in accordance with §
240.13d-1(b)(1)(ii)(G); |
(h) | o | A
savings associations 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 | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J). |
(k) | o |
A group, in accordance with § 240.13d-1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J), please specify
the type of institution:
|
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:
1,652,431 |
(b) |
Percent of class: 4.19% |
(c) | Number
of shares as to which the person has: |
(i) |
Sole power to vote or to direct the vote:
1,652,431 |
(ii) |
Shared power to vote or to direct the vote:
0 |
(iii) |
Sole power to dispose or to direct the disposition of:
1,652,431 |
(iv) |
Shared power to dispose or to direct the disposition of:
0 |
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
.
4.19%
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 |
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. | Certification |
| Not applicable. |
SIGNATURE
After
reasonable inquiry and to the best of my knowledge and belief, I certify that
the information set forth in this statement is true, complete and correct.
Date:
February 13, 2019 | By:
| /s/ Christopher Lal | |
| Name: Christopher Lal | |||
| Title: Attorney-in-Fact | |||
Footnotes: | Item 4(a): See footnote (1) on the cover page of this schedule.
Items 4(a), 4(c)(i) and 4(c)(iii): See footnote (2) on the cover page of this schedule. Item 4(b): See footnote (3) on the cover page of this schedule. |
Attention: | Intentional
misstatements or omissions of fact constitute Federal criminal violations (See
18 U.S.C. 1001) |