0001225208-19-009286.txt : 20190614 0001225208-19-009286.hdr.sgml : 20190614 20190614185735 ACCESSION NUMBER: 0001225208-19-009286 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190612 FILED AS OF DATE: 20190614 DATE AS OF CHANGE: 20190614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITE JAMES N CENTRAL INDEX KEY: 0001201720 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38464 FILM NUMBER: 19900119 MAIL ADDRESS: STREET 1: 755 PAGE MILL ROAD, SUITE A-200 CITY: PALO ALTO STATE: CA ZIP: 94304-1005 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 doc4.xml X0306 4 2019-06-12 0001366561 SMARTSHEET INC SMAR 0001201720 WHITE JAMES N 755 PAGE MILL ROAD, SUITE A-200 PALO ALTO CA 94304-1005 1 Class A Common Stock 2019-06-12 4 A 0 3159.0000 0.0000 A 13159.0000 D Class A Common Stock 108445.0000 I By Ltd Partnership (ROSE) Class A Common Stock 50617.0000 I By Trust Annual grant of restricted stock units that will fully vest on the earlier of (1) the date of the following year's annual meeting of the issuer's shareholders and (2) the date that is one year following the date of grant. Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock. The reporting person shares pecuniary interest in these shares with other individuals pursuant to a contractual relationship. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest in these shares. Shares held by a limited partnership of which the reporting person is a trustee of a trust which is the general partner. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein. Shares held by a trust of which the reporting person is a trustee. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein. /s/ Robert Yin, by power of attorney 2019-06-14