0001200925-19-000023.txt : 20190612 0001200925-19-000023.hdr.sgml : 20190612 20190612201756 ACCESSION NUMBER: 0001200925-19-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190610 FILED AS OF DATE: 20190612 DATE AS OF CHANGE: 20190612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MADER MARK PATRICK CENTRAL INDEX KEY: 0001200925 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38464 FILM NUMBER: 19894712 MAIL ADDRESS: STREET 1: 3514 45TH AVE NE CITY: SEATTLE STATE: WA ZIP: 98105 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_156038506159111.xml FORM 4 X0306 4 2019-06-10 0 0001366561 SMARTSHEET INC SMAR 0001200925 MADER MARK PATRICK C/O SMARTSHEET INC. 10500 NE 8TH ST., SUITE 1300 BELLEVUE WA 98004 1 1 0 0 President and CEO Class A Common Stock 2019-06-10 4 C 0 30000 0 A 32503 D Class A Common Stock 2019-06-10 4 S 0 17789 44.4656 D 14714 D Class A Common Stock 2019-06-10 4 S 0 12211 45.6806 D 2503 D Class A Common Stock 2019-06-11 4 S 0 2240 42.8994 D 84010 I By T77A Trust Class A Common Stock 2019-06-11 4 S 0 1260 43.7053 D 82750 I By T77A Trust Class A Common Stock 2019-06-11 4 S 0 1500 44.6199 D 81250 I By T77A Trust Class A Common Stock 2019-06-11 4 S 0 2100 42.8705 D 84150 I By T49C Trust Class A Common Stock 2019-06-11 4 S 0 1400 43.6493 D 82750 I By T49C Trust Class A Common Stock 2019-06-11 4 S 0 1500 44.6253 D 81250 I By T49C Trust Class B Common Stock 2019-06-10 4 C 0 30000 0 D Class A Common Stock 30000.0 1179254 D Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock. The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the holder. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $44.06 to $45.04 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $45.07 to $46.04 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $42.26 to $43.25 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. These securities are held of record by Douglas Porter, Trustee of each of the T77A Trust and the T49C Trust, trusts for the benefit of the reporting person's children. The reporting person disclaims beneficial ownership over such securities, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $43.31 to $44.21 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $44.36 to $45.23 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $43.27 to $44.21 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. Each share of the issuer's Class B Common Stock will convert into 1 share of the issuer's Class A Common Stock (a) at the option of the holder or (b) automatically upon (i) any transfer which occurs after the closing of the issuer's initial public offering ("IPO"), except for certain permitted transfers, and (ii) the date that is the earliest of (x) the date specified by a vote of the holders of not less than a majority of the outstanding shares of Class B Common Stock, (y) seven years from the effective date of the IPO and (z) the date that the total number of shares of outstanding Class B Common Stock ceases to represent at least 15% of all outstanding shares of the issuer's common stock, and has no expiration date. /s/ Paul Porrini as attorney-in-fact for Mark Mader 2019-06-12