0001366561-24-000162.txt : 20240628 0001366561-24-000162.hdr.sgml : 20240628 20240628171422 ACCESSION NUMBER: 0001366561-24-000162 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240626 FILED AS OF DATE: 20240628 DATE AS OF CHANGE: 20240628 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: 241086865 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_1719609255.xml FORM 4 X0508 4 2024-06-26 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 Class A Common Stock 2024-06-26 4 M 0 2640 A 2640 D Restricted Stock Units (RSU) (Class A) 2024-06-26 4 M 0 2640 0 D 2033-06-26 Class A Common Stock 2640 5281 D Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement. The RSUs vest as to 1/3 of the total shares on each of June 26, 2024, June 26, 2025, and June 26, 2026, subject to the reporting person's provision of service to the issuer on each vesting date. /s/ Jolene Marshall as attorney-in-fact for Khozema Shipchandler 2024-06-28