0001200925-19-000031.txt : 20190923 0001200925-19-000031.hdr.sgml : 20190923 20190923182359 ACCESSION NUMBER: 0001200925-19-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190919 FILED AS OF DATE: 20190923 DATE AS OF CHANGE: 20190923 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: 191108900 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_156927741886579.xml FORM 4 X0306 4 2019-09-19 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 2019-09-19 4 C 0 989254 A 991757 D Class A Common Stock 2019-09-19 4 C 0 50000 A 116250 I By T77A Trust Class A Common Stock 2019-09-19 4 C 0 50000 A 116250 I By T49C Trust Class B Common Stock 2019-09-19 4 C 0 989254 0 D Class A Common Stock 989254.0 0 D Class B Common Stock 2019-09-19 4 C 0 50000 0 D Class A Common Stock 50000.0 0 I By T77A Trust Class B Common Stock 2019-09-19 4 C 0 50000 0 D Class A Common Stock 50000.0 0 I By T49C Trust Stock Option (right to buy Class B Common Stock) 0.98 2019-09-19 4 J 0 51654 0 D 2024-02-21 Class B Common Stock 51654.0 0 D Stock Option (right to buy Class A Common Stock) 0.98 2019-09-19 4 J 0 51654 0 A 2024-02-21 Class A Common Stock 51654.0 51654 D Stock Option (right to buy Class B Common Stock) 1.38 2019-09-19 4 J 0 72916 0 D 2025-02-18 Class B Common Stock 72916.0 0 D Stock Option (right to buy Class A Common Stock) 1.38 2019-09-19 4 J 0 72916 0 A 2025-02-18 Class A Common Stock 72916.0 72916 D Stock Option (right to buy Class B Common Stock) 3.73 2019-09-19 4 J 0 800000 0 D 2027-03-16 Class B Common Stock 800000.0 0 D Stock Option (right to buy Class A Common Stock) 3.73 2019-09-19 4 J 0 800000 0 A 2027-03-16 Class A Common Stock 800000.0 800000 D Stock Option (right to buy Class B Common Stock) 9.53 2019-09-19 4 J 0 250000 0 D 2028-03-05 Class B Common Stock 250000.0 0 D Stock Option (right to buy Class A Common Stock) 9.53 2019-09-19 4 J 0 250000 0 A 2028-03-05 Class A Common Stock 250000.0 250000 D Does not represent a sale or purchase of the issuer's common stock but the automatic conversion of shares of the issuer's Class B Common Stock into shares of the issuer's Class A Common Stock effective as of the date that the total number of shares of outstanding Class B Common Stock ceased to represent at least 15% of all outstanding shares of the issuer's common stock, as set forth in the issuer's Amended and Restated Articles of Incorporation. 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. In connection with the automatic conversion described in note (1) above, outstanding Class B Common Stock options that were issued under the issuer's 2005 Option/Restricted Stock Plan and 2015 Equity Incentive Plan remain unchanged except that the underlying shares are now Class A Common Stock. The option is fully vested and exercisable. The option vested as to 25% of the total shares on February 1, 2018 and then 2.0833% of the total shares vest monthly thereafter, with 100% of the total shares vested and exercisable on February 1, 2021, subject to the reporting person's provision of service to the issuer on each vesting date. The option vests as 25% of the total shares on February 1, 2019 and then 2.0833% of the total shares vest monthly thereafter, with 100% of the total shares vested and exercisable on February 1, 2022, subject to the reporting person's provision of service to the issuer on each vesting date. /s/ Paul Porrini as attorney-in-fact for Mark Mader 2019-09-23