0001366561-21-000084.txt : 20210621
0001366561-21-000084.hdr.sgml : 20210621
20210621190957
ACCESSION NUMBER: 0001366561-21-000084
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210617
FILED AS OF DATE: 20210621
DATE AS OF CHANGE: 20210621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McIlwain Matthew S
CENTRAL INDEX KEY: 0001381752
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38464
FILM NUMBER: 211032535
MAIL ADDRESS:
STREET 1: 1000 SECOND AVENUE
STREET 2: SUITE 3700
CITY: SEATTLE
STATE: WA
ZIP: 98104
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_162431698310908.xml
FORM 4
X0306
4
2021-06-17
0
0001366561
SMARTSHEET INC
SMAR
0001381752
McIlwain Matthew S
C/O MADRONA VENTURE GROUP
999 THIRD AVE., 34TH FLOOR
SEATTLE
WA
98104
1
0
0
0
Class A Common Stock
2021-06-17
4
M
0
3032
A
106107
D
Restricted Stock Units (RSU) (Class A)
2021-06-17
4
M
0
3032
0
D
2030-06-17
Class A Common Stock
3032.0
0
D
Restricted Stock Units (RSU) (Class A)
2021-06-17
4
A
0
2952
0
A
2031-06-17
Class A Common Stock
2952.0
2952
D
Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement.
The RSUs fully vested on June 17, 2021.
The RSUs shall fully vest on the earlier of (a) the date of the 2022 annual meeting of the issuer's shareholders and (b) June 17, 2022, subject to continued service through the vesting date.
/s/ Paul Porrini as attorney-in-fact for Matthew McIlwain
2021-06-21