0001366561-22-000092.txt : 20220622 0001366561-22-000092.hdr.sgml : 20220622 20220622183516 ACCESSION NUMBER: 0001366561-22-000092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220617 FILED AS OF DATE: 20220622 DATE AS OF CHANGE: 20220622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barker Geoffrey T CENTRAL INDEX KEY: 0001511891 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38464 FILM NUMBER: 221033185 MAIL ADDRESS: STREET 1: 1 MARKET PLAZA STREET 2: STEUART TOWER, SUITE 800 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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_165593729248978.xml FORM 4 X0306 4 2022-06-17 0 0001366561 SMARTSHEET INC SMAR 0001511891 Barker Geoffrey T C/O SMARTSHEET INC. 10500 NE 8TH ST., SUITE 1300 BELLEVUE WA 98004 1 0 0 0 Class A Common Stock 2022-06-17 4 M 0 2952 A 316958 D Class A Common Stock 35000 I By Peregrine Foundation Restricted Stock Units (RSU) (Class A) 2022-06-17 4 M 0 2952 0 D 2031-06-17 Class A Common Stock 2952.0 0 D Restricted Stock Units (RSU) (Class A) 2022-06-17 4 A 0 5162 0 A 2031-06-17 Class A Common Stock 5162.0 5162 D Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement. The reporting person and his spouse are the directors of Peregrine Foundation, a nonprofit corporation. The reporting person disclaims beneficial ownership over the reported securities, and the inclusion of the 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. The RSUs fully vested on June 17, 2022. The RSUs shall fully vest on the earlier of (a) the date of the 2023 annual meeting of the issuer's shareholders and (b) June 17, 2023, subject to continued service through the vesting date. /s/ Jolene Marshall as attorney-in-fact for Geoffrey T. Barker 2022-06-22