0001366561-22-000145.txt : 20221017 0001366561-22-000145.hdr.sgml : 20221017 20221017165757 ACCESSION NUMBER: 0001366561-22-000145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221014 FILED AS OF DATE: 20221017 DATE AS OF CHANGE: 20221017 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: 221314187 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_166604019076769.xml FORM 4 X0306 4 2022-10-14 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 2022-10-14 4 M 0 6250 5.28 A 12253 D Class A Common Stock 2022-10-14 4 S 0 6250 33.88 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 2022-10-14 4 M 0 6250 0 D 2027-10-13 Class A Common Stock 6250.0 58000 D The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the holder. The 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 2022-10-17