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