0001366561-24-000149.txt : 20240618
0001366561-24-000149.hdr.sgml : 20240618
20240618185732
ACCESSION NUMBER: 0001366561-24-000149
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240618
FILED AS OF DATE: 20240618
DATE AS OF CHANGE: 20240618
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shipchandler Khozema
CENTRAL INDEX KEY: 0001737610
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38464
FILM NUMBER: 241053535
MAIL ADDRESS:
STREET 1: C/O PIVOTAL SOFTWARE, INC.
STREET 2: 875 HOWARD STREET, FIFTH FLOOR
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]
ORGANIZATION NAME: 06 Technology
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
wk-form4_1718751445.xml
FORM 4
X0508
4
2024-06-18
0
0001366561
SMARTSHEET INC
SMAR
0001737610
Shipchandler Khozema
C/O SMARTSHEET INC.
500 108TH AVE. NE, SUITE 200
BELLEVUE
WA
98004
1
0
0
0
0
Restricted Stock Units (RSU) (Class A)
2024-06-18
4
A
0
4864
0
A
2034-06-18
Class A Common Stock
4864
4864
D
Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement.
The RSUs shall fully vest on the earlier of (a) the date of the 2025 annual meeting of the issuer's shareholders and (b) June 18, 2025, subject to continued service through the vesting date.
/s/ Jolene Marshall as attorney-in-fact for Khozema Shipchandler
2024-06-18