0001366561-23-000123.txt : 20231117 0001366561-23-000123.hdr.sgml : 20231117 20231117182758 ACCESSION NUMBER: 0001366561-23-000123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231115 FILED AS OF DATE: 20231117 DATE AS OF CHANGE: 20231117 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: 231420333 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: 500 108TH AVE NE STREET 2: SUITE 200 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 844-324-2360 MAIL ADDRESS: STREET 1: 500 108TH AVE NE STREET 2: SUITE 200 CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: SMARTSHEET.COM INC DATE OF NAME CHANGE: 20060619 4 1 wk-form4_1700263666.xml FORM 4 X0508 4 2023-11-15 0 0001366561 SMARTSHEET INC SMAR 0001200925 MADER MARK PATRICK C/O SMARTSHEET INC. 500 108TH AVENUE NE #200 BELLEVUE WA 98004 1 1 0 0 President and CEO 0 Class A Common Stock 2023-11-15 4 M 0 5530 A 585356 D Class A Common Stock 2023-11-15 4 M 0 4336 A 589692 D Class A Common Stock 2023-11-15 4 M 0 4486 A 594178 D Class A Common Stock 2023-11-15 4 M 0 44341 A 638519 D Class A Common Stock 2023-11-15 4 F 0 23099 41.99 D 615420 D Class A Common Stock 51250 I By T49C Trust Class A Common Stock 51250 I By T77A Trust Restricted Stock Units (RSU) (Class A) 2023-11-15 4 M 0 5530 0 D 2030-03-19 Class A Common Stock 5530 5531 D Restricted Stock Units (RSU) (Class A) 2023-11-15 4 M 0 4336 0 D 2031-03-19 Class A Common Stock 4336 21684 D Restricted Stock Units (RSU) (Class A) 2023-11-15 4 M 0 4486 0 D 2031-12-07 Class A Common Stock 4486 35888 D Restricted Stock Units (RSU) (Class A) 2023-11-15 4 M 0 44341 0 D 2032-12-06 Class A Common Stock 44341 88683 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, 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. The RSUs vested as to 25% of the total shares on November 15, 2022, and then 6.25% of the total shares vest quarterly thereafter, subject to continued service through each vesting date. The RSUs vest as to 33.3% of the total shares on November 15, 2023, and then 8.33% of the total shares shall vest quarterly thereafter, subject to continued service through each vesting date. /s/ Jolene Marshall as attorney-in-fact for Mark Mader 2023-11-17