FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
SMARTSHEET INC [ SMAR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 06/12/2019 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Class A Common Stock | 06/14/2019 | C(1) | 635,000 | A | $0 | 792,814 | D | |||
Class A Common Stock | 06/14/2019 | S | 635,000 | D | $43.5 | 157,814 | D | |||
Class A Common Stock | 65,000 | I | By CC GRAT of 2017(2) | |||||||
Class A Common Stock | 65,000 | I | By Frei GRAT of 2017(2) | |||||||
Class A Common Stock | 65,000 | I | By KF GRAT of 2017(2) | |||||||
Class A Common Stock | 65,000 | I | By MF GRAT of 2017(2) | |||||||
Class A Common Stock | 65,000 | I | By SD GRAT of 2017(2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units (RSU) (Class A) | (3) | 06/12/2019 | A | 3,159 | (4) | 06/12/2029 | Class A Common Stock | 3,159 | $0 | 3,159 | D | ||||
Class B Common Stock(5) | (5) | 06/14/2019 | C | 635,000(6) | (5) | (5) | Class A Common Stock | 635,000 | $0 | 5,101,227 | D | ||||
Class B Common Stock(5) | (5) | (5) | (5) | Class A Common Stock | 25,000 | 25,000 | I | By Samantha Frei Irrevocable Trust dated January 7, 2018(7) | |||||||
Class B Common Stock(5) | (5) | (5) | (5) | Class A Common Stock | 25,000 | 25,000 | I | By Sofia Frei Irrevocable Trust dated January 7, 2018(7) | |||||||
Class B Common Stock(5) | (5) | (5) | (5) | Class A Common Stock | 25,000 | 25,000 | I | By Tessa Frei Irrevocable Trust dated January 7, 2018(7) | |||||||
Class B Common Stock(5) | (5) | (5) | (5) | Class A Common Stock | 25,000 | 25,000 | I | By Thomas Frei Irrevocable Trust dated January 7, 2018(7) | |||||||
Class B Common Stock(5) | (5) | (5) | (5) | Class A Common Stock | 25,000 | 25,000 | I | By Tucker Frei Irrevocable Trust dated January 7, 2018(7) |
Explanation of Responses: |
1. Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock. |
2. These securities are held of record by Brent Frei, Trustee of each of the CC GRAT of 2017, the Frei GRAT of 2017, the KF GRAT of 2017, the MF GRAT of 2017 and the SD GRAT of 2017. |
3. Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement. |
4. The RSUs shall fully vest on the earlier of (a) the date of the next annual meeting of the issuer's shareholders and (b) the date that is one year following the effective date of the award of the RSUs, subject to continued service through the vesting date. |
5. The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis (a) at the option of the holder or (b) automatically upon (i) any transfer, 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) April 26, 2025 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. |
6. The holder elected to convert the Class B common stock to Class A common stock on a 1-for-1 basis. |
7. These securities are held of record by Mark A. Frei, Trustee of each of the Samantha Frei Irrevocable Trust dated January 7, 2018, Sofia Frei Irrevocable Trust dated January 7, 2018, Tessa Frei Irrevocable Trust dated January 7, 2018, Thomas Frei Irrevocable Trust dated January 7, 2018, and Tucker Frei Irrevocable Trust dated January 7, 2018, trusts for the benefit of the reporting person's minor 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. |
Remarks: |
/s/ Paul Porrini as attorney-in-fact for Brent Frei | 06/14/2019 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |