0001366561-23-000003.txt : 20230227
0001366561-23-000003.hdr.sgml : 20230227
20230227170309
ACCESSION NUMBER: 0001366561-23-000003
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221207
FILED AS OF DATE: 20230227
DATE AS OF CHANGE: 20230227
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McIlwain Matthew S
CENTRAL INDEX KEY: 0001381752
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38464
FILM NUMBER: 23676337
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: 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
5
1
wf-form5_167753536654726.xml
FORM 5
X0306
5
2022-12-07
0
0
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
2023-02-27
5
G
0
5500
0
D
128559
D
Represents shares of the issuer's Class A Common Stock that the reporting person donated to a Donor Advised Fund.
/s/ Jolene Marshall as attorney-in-fact for Matthew McIlwain
2023-02-27