0001381752-20-000006.txt : 20200609 0001381752-20-000006.hdr.sgml : 20200609 20200609202144 ACCESSION NUMBER: 0001381752-20-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200605 FILED AS OF DATE: 20200609 DATE AS OF CHANGE: 20200609 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: 20953269 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_159174848476394.xml FORM 4 X0306 4 2020-06-05 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 2020-06-05 4 J 0 1149892 0 D 0 I By Madrona Venture Fund III, L.P. Class A Common Stock 2020-06-05 4 J 0 45934 0 D 0 I By Madrona Venture Fund III-A, L.P. Class A Common Stock 2020-06-05 4 J 0 240560 0 D 0 I By Madrona Venture Fund IV, L.P. Class A Common Stock 2020-06-05 4 J 0 6130 0 D 0 I By Madrona Venture Fund IV-A, L.P. Class A Common Stock 2020-06-05 4 J 0 44688 0 A 169556 D The shares reported on this form represent pro rata distributions, and not sales or purchases, of securities by the reporting entity to its partners or members or the funds for which it acts as nominee without consideration. 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 may be deemed to share voting and investment power over 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 such securities' inclusion shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or 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-A") 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 may be deemed to share voting and investment power over 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 such securities' inclusion shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or other purposes. /s/ Paul Porrini as attorney-in-fact for Matthew McIlwain 2020-06-09