0001366561-19-000022.txt : 20190415 0001366561-19-000022.hdr.sgml : 20190415 20190415212800 ACCESSION NUMBER: 0001366561-19-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190412 FILED AS OF DATE: 20190415 DATE AS OF CHANGE: 20190415 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: YESIL MAGDALENA CENTRAL INDEX KEY: 0001225481 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38464 FILM NUMBER: 19749744 MAIL ADDRESS: STREET 1: 2306 MAR EAST STREET CITY: TIBURON STATE: CA ZIP: 94920 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_155537806499165.xml FORM 4 X0306 4 2019-04-12 0 0001366561 SMARTSHEET INC SMAR 0001225481 YESIL MAGDALENA C/O SMARTSHEET INC. 10500 NE 8TH ST., SUITE 1300 BELLEVUE WA 98004 1 0 0 0 Class A Common Stock 2019-04-12 4 C 0 35755 0 A 35755 I By Justin Yeshil Wickett Trust Class A Common Stock 2019-04-12 4 C 0 35757 0 A 35757 I By Troy Kevork Wickett Trust Class B Common Stock 2019-04-12 4 C 0 35755 0 D Class A Common Stock 35755.0 0 I By Justin Yeshil Wickett Trust Class B Common Stock 2019-04-12 4 C 0 35757 0 D Class A Common Stock 35757.0 0 I By Troy Kevork Wickett Trust Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock. These securities are held of record by Magdalena Yesil, Trustee of each of the Justin Yeshil Wickett Trust dated December 10, 1990 and the Troy Kevork Wickett Trust dated December 10, 1990, 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 share of the issuer's Class B Common Stock will convert into 1 share of the issuer's Class A Common Stock (a) at the option of the holder or (b) automatically upon (i) any transfer which occurs after the closing of the issuer's IPO, except for certain permitted transfers, or (ii) the date that is the earliest of (x) the date specified by a vote of the holders of not less than a majority of the outstanding shares of Class B Common Stock, (y) seven years from the effective date of the IPO and (z) the date that the total number of shares of outstanding Class B Common Stock ceases to represent at least 15% of all outstanding shares of the issuer's common stock, and has no expiration date. The holder elected to convert the Class B common stock to Class A common stock on a 1-for-1 basis. /s/ Paul Porrini as attorney-in-fact for Magdalena Yesil 2019-04-15