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