0001366561-22-000007.txt : 20220217
0001366561-22-000007.hdr.sgml : 20220217
20220217211832
ACCESSION NUMBER: 0001366561-22-000007
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220215
FILED AS OF DATE: 20220217
DATE AS OF CHANGE: 20220217
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: 22650650
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_164515069120800.xml
FORM 4
X0306
4
2022-02-15
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
2022-02-15
4
M
0
5151
A
428064
D
Class A Common Stock
2022-02-15
4
M
0
5525
A
433589
D
Class A Common Stock
2022-02-15
4
M
0
17902
A
451491
D
Class A Common Stock
2022-02-15
4
F
0
8150
62.99
D
443341
D
Class A Common Stock
51250
I
By T77A Trust
Class A Common Stock
51250
I
By T49C Trust
Restricted Stock Units (RSU) (Class A)
2022-02-15
4
M
0
5151
0
D
2029-03-28
Class A Common Stock
5151.0
13364
D
Restricted Stock Units (RSU) (Class A)
2022-02-15
4
M
0
5525
0
D
2030-03-19
Class A Common Stock
5525.0
44249
D
Restricted Stock Units (RSU) (Class A)
2022-02-15
4
M
0
17902
0
D
2031-03-19
Class A Common Stock
17902.0
51483
D
Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement.
Represents the number of shares of Class A Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the RSUs and does not represent a sale by the reporting person.
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 RSUs vested as to 25% of the total shares on February 15, 2020, and then 6.25% of the total shares vest quarterly thereafter, subject to continued service through each vesting date.
The RSUs vested as to 25% of the total shares on February 15, 2021, and then 6.25% of the total shares vest quarterly thereafter, subject to continued service through each vesting date.
The RSUs vested as to 25% of the total shares on February 15, 2022, and then 6.25% of the total shares vest quarterly thereafter, subject to continued service through each vesting date.
/s/ Jolene Marshall as attorney-in-fact for Mark Mader
2022-02-17