0001381752-19-000028.txt : 20191218 0001381752-19-000028.hdr.sgml : 20191218 20191218193207 ACCESSION NUMBER: 0001381752-19-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191216 FILED AS OF DATE: 20191218 DATE AS OF CHANGE: 20191218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McIlwain Matthew S CENTRAL INDEX KEY: 0001381752 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38464 FILM NUMBER: 191293833 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: 10500 NE 8TH STREET STREET 2: SUITE 1300 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 855-420-2395 MAIL ADDRESS: STREET 1: 10500 NE 8TH STREET STREET 2: SUITE 1300 CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: SMARTSHEET.COM INC DATE OF NAME CHANGE: 20060619 4 1 wf-form4_157671551042838.xml FORM 4 X0306 4 2019-12-16 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 2019-12-16 4 S 0 17796 42.7721 D 174868 D Class A Common Stock 2019-12-16 5 G 0 E 5000 0 D 169868 D Class A Common Stock 3182606 I By Madrona Venture Fund III, L.P. Class A Common Stock 127134 I By Madrona Venture Fund III-A, L.P. Class A Common Stock 665809 I By Madrona Venture Fund IV, L.P. Class A Common Stock 16967 I By Madrona Venture Fund IV-A, L.P. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $42.75 to $42.93 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. Represents shares of the issuer's Class A Common Stock that the reporting person donated as a gift. These securities are held of record by Madrona Venture Fund III, L.P ("Madrona Fund III") and Madrona Venture Fund III-A, L.P. ("Madrona Fund III-A"), as applicable. Madrona Investment Partners III, L.P. ("Madrona Partners III") is the general partner of Madrona Fund III and Madrona Fund III-A. Madrona III General Partner, LLC ("Madrona III LLC") is the general partner of Madrona Partners III. Matthew McIlwain, a member of the issuer's board of directors, together with Tom Alberg, Paul Goodrich, Scott Jacobson, Len Jordon, and Tim Porter, are the managing members of Madrona III LLC, and each may be deemed to share voting and investment power over the securities held by Madrona Fund III and Madrona Fund III-A. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and their inclusion herein shall not be deemed an admission of beneficial ownership for purposes of Section 16 or any other purposes. These securities are held of record by Madrona Venture Fund IV, L.P. ("Madrona Fund IV") and Madrona Venture Fund IV-A, L.P. ("Madrona Fund IV-A"), as applicable. Madrona Investment Partners IV, L.P. ("Madrona Partners IV") is the general partner of Madrona Fund IV and Madrona Fund IV-A. Madrona IV General Partner, LLC ("Madrona IV LLC") is the general partner of Madrona Partners IV. Matthew McIlwain, a member of the issuer's board of directors, together with Tom Alberg, Paul Goodrich, Scott Jacobson, Len Jordon, and Tim Porter, are the managing members of Madrona IV LLC, and each may be deemed to share voting and investment power over the securities held by Madrona Fund IV and Madrona Fund IV-A. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and their inclusion in this report shall not be deemed an admission of beneficial ownership for purposes of Section 16 or for any other purposes. /s/ Paul Porrini as attorney-in-fact for Matthew McIlwain 2019-12-18