0001104916-19-000024.txt : 20190430 0001104916-19-000024.hdr.sgml : 20190430 20190430181129 ACCESSION NUMBER: 0001104916-19-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190426 FILED AS OF DATE: 20190430 DATE AS OF CHANGE: 20190430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FREI BRENT CENTRAL INDEX KEY: 0001104916 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38464 FILM NUMBER: 19783963 MAIL ADDRESS: STREET 1: C/O ONYX SOFTWARE CORP STREET 2: 3180 139TH AVENUE SE SUITE 500 CITY: BELLEVUE STATE: WA ZIP: 98005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SMARTSHEET INC CENTRAL INDEX KEY: 0001366561 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 202954357 STATE OF INCORPORATION: WA FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 10500 NE 8TH STREET STREET 2: SUITE 1300 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 855-420-2395 MAIL ADDRESS: STREET 1: 10500 NE 8TH STREET STREET 2: SUITE 1300 CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: SMARTSHEET.COM INC DATE OF NAME CHANGE: 20060619 4 1 wf-form4_155666227509636.xml FORM 4 X0306 4 2019-04-26 0 0001366561 SMARTSHEET INC SMAR 0001104916 FREI BRENT C/O SMARTSHEET INC. 10500 NE 8TH ST., SUITE 1300 BELLEVUE WA 98004 1 0 1 0 Class A Common Stock 2019-04-26 4 M 0 10000 A 157814 D Class A Common Stock 65000 I By CC GRAT of 2017 Class A Common Stock 65000 I By Frei GRAT of 2017 Class A Common Stock 65000 I By KF GRAT of 2017 Class A Common Stock 65000 I By MF GRAT of 2017 Class A Common Stock 65000 I By SD GRAT of 2017 Restricted Stock Units (RSU) (Class A) 2019-04-26 4 M 0 10000 0 D 2028-04-26 Class A Common Stock 10000.0 0 D Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement. These securities are held of record by Brent Frei, Trustee of each of the CC GRAT of 2017, the Frei GRAT of 2017, the KF GRAT of 2017, the MF GRAT of 2017 and the SD GRAT of 2017. The RSUs vested on April 26, 2019, the date that is one year following the effective date of the RSU award. /s/ Paul Porrini as attorney-in-fact for Brent Frei 2019-04-30