0001366561-23-000157.txt : 20231214
0001366561-23-000157.hdr.sgml : 20231214
20231214184500
ACCESSION NUMBER: 0001366561-23-000157
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231212
FILED AS OF DATE: 20231214
DATE AS OF CHANGE: 20231214
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: 231488392
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_1702597489.xml
FORM 4
X0508
4
2023-12-12
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
2023-12-12
4
M
0
66512
A
681932
D
Class A Common Stock
2023-12-13
4
F
0
26173
43.99
D
655759
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)
2023-12-12
4
A
0
97975
0
A
2033-12-12
Class A Common Stock
97975
97975
D
Performance Stock Unit (PSU) (Class A)
2023-12-12
4
A
0
66512
0
A
2032-12-06
Class A Common Stock
66512
66512
D
Performance Stock Unit (PSU) (Class A)
2023-12-12
4
M
0
66512
0
D
2032-12-06
Class A Common Stock
66512
0
D
Each PSU 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 PSUs 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.
Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement.
The RSUs vest as to 33.3% of the total shares on November 15, 2024, and then 8.33% of the total shares shall vest quarterly thereafter, subject to continued service through each vesting date.
The reporting person earned 66,512 PSUs upon the achievement of certain performance criteria as certified by the Compensation Committee of the issuer's Board of Directors ("Compensation Committee") on December 12, 2023.
The PSUs became fully vested upon certification by the Compensation Committee.
/s/ Jolene Marshall as attorney-in-fact for Mark Mader
2023-12-14