0001366561-22-000142.txt : 20220916 0001366561-22-000142.hdr.sgml : 20220916 20220916175928 ACCESSION NUMBER: 0001366561-22-000142 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220915 FILED AS OF DATE: 20220916 DATE AS OF CHANGE: 20220916 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: 221248969 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: 500 108TH AVE NE STREET 2: SUITE 200 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 844-324-2360 MAIL ADDRESS: STREET 1: 500 108TH AVE NE STREET 2: SUITE 200 CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: SMARTSHEET.COM INC DATE OF NAME CHANGE: 20060619 4 1 wf-form4_166336555302515.xml FORM 4 X0306 4 2022-09-15 0 0001366561 SMARTSHEET INC SMAR 0001674159 Gomez Elena C/O SMARTSHEET INC. 500 108TH AVENUE NE #200 BELLEVUE WA 98004 1 0 0 0 Class A Common Stock 2022-09-15 4 M 0 6250 5.28 A 12253 D Class A Common Stock 2022-09-15 4 S 0 6250 37.17 D 6003 D Class A Common Stock 20107 I By Juan L. Gomez and Elena C. Gomez Declaration of Trust Stock Option (right to buy Class A Common Stock) 5.28 2022-09-15 4 M 0 6250 0 A 2027-10-13 Class A Common Stock 6250.0 64250 D The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person. 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 option is fully vested and exercisable. /s/ Jolene Marshall as attorney-in-fact for Elena Gomez 2022-09-16