0001366561-19-000025.txt : 20190417
0001366561-19-000025.hdr.sgml : 20190417
20190417200327
ACCESSION NUMBER: 0001366561-19-000025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190415
FILED AS OF DATE: 20190417
DATE AS OF CHANGE: 20190417
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gomez Elena
CENTRAL INDEX KEY: 0001674159
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38464
FILM NUMBER: 19754214
MAIL ADDRESS:
STREET 1: C/O ZENDESK, INC.
STREET 2: 1019 MARKET STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
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_155554579344719.xml
FORM 4
X0306
4
2019-04-15
0
0001366561
SMARTSHEET INC
SMAR
0001674159
Gomez Elena
C/O SMARTSHEET INC.
10500 NE 8TH ST., SUITE 1300
BELLEVUE
WA
98004
1
0
0
0
Class A Common Stock
2019-04-15
4
C
0
2500
0
A
2500
I
By Juan L. Gomez and Elena C. Gomez Declaration of Trust
Class A Common Stock
2019-04-15
4
S
0
2500
40.40
D
0
I
By Juan L. Gomez and Elena C. Gomez Declaration of Trust
Class A Common Stock
0
D
Class B Common Stock
2019-04-15
4
C
0
2500
0
D
Class A Common Stock
2500.0
25107
I
By Juan L. Gomez and Elena C. Gomez Declaration of 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 Juan L. Gomez and Elena C Gomez, Trustees of the Juan L. Gomez and Elena C. Gomez Declaration of Trust Dated April 2, 2009.
The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the holder.
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 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 Elena Gomez
2019-04-17