0001366561-19-000083.txt : 20191205 0001366561-19-000083.hdr.sgml : 20191205 20191205192320 ACCESSION NUMBER: 0001366561-19-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191203 FILED AS OF DATE: 20191205 DATE AS OF CHANGE: 20191205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GREGOIRE MICHAEL P CENTRAL INDEX KEY: 0001232409 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38464 FILM NUMBER: 191271448 BUSINESS ADDRESS: STREET 1: C/O CA, INC. STREET 2: ONE CA PLAZA CITY: ISLANDIA STATE: NY ZIP: 11749 BUSINESS PHONE: 800-225-5224 MAIL ADDRESS: STREET 1: C/O CA, INC. STREET 2: ONE CA PLAZA CITY: ISLANDIA STATE: NY ZIP: 11749 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_157559178080370.xml FORM 4 X0306 4 2019-12-03 0 0001366561 SMARTSHEET INC SMAR 0001232409 GREGOIRE MICHAEL P C/O SMARTSHEET INC. 10500 NE 8TH ST, SUITE 1300 BELLEVUE WA 98004 1 0 0 0 Restricted Stock Units (RSU) (Class A) 2019-12-03 4 A 0 5517 0 A 2029-12-03 Class A Common Stock 5517.0 5517 D 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 1/3 of the total shares on each of December 3, 2020, December 3, 2021 and December 3, 2022, subject to the reporting person's provision of service to the issuer on each vesting date. /s/ Paul Porrini as attorney-in-fact for Michael Gregoire 2019-12-05