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