0001652155-19-000005.txt : 20190514
0001652155-19-000005.hdr.sgml : 20190514
20190514193947
ACCESSION NUMBER: 0001652155-19-000005
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190510
FILED AS OF DATE: 20190514
DATE AS OF CHANGE: 20190514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ceran Jennifer
CENTRAL INDEX KEY: 0001652155
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38464
FILM NUMBER: 19824590
MAIL ADDRESS:
STREET 1: C/O QUOTIENT TECHNOLOGY INC.
STREET 2: 400 LOGUE AVE
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
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_155787717170116.xml
FORM 4
X0306
4
2019-05-10
0
0001366561
SMARTSHEET INC
SMAR
0001652155
Ceran Jennifer
C/O SMARTSHEET INC.
10500 NE 8TH ST., SUITE 1300
BELLEVUE
WA
98004
0
1
0
0
CFO and Treasurer
Class A Common Stock
2019-05-10
4
C
0
10000
0
A
12393
D
Class A Common Stock
2019-05-10
4
S
0
10000
41
D
2393
D
Stock Option (right to buy Class B Common Stock)
2.72
2019-05-10
4
M
0
10000
0
D
2026-10-27
Class B Common Stock
10000.0
834486
D
Class B Common Stock
2019-05-10
4
M
0
10000
0
A
Class A Common Stock
10000.0
85945
D
Class B Common Stock
2019-05-10
4
C
0
10000
0
D
Class A Common Stock
10000.0
75945
D
Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock.
Includes 923 shares of Class A Common Stock acquired under the issuer's employee stock purchase plan on March 24, 2019.
The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the holder.
The option vested as to 25% of the total shares on September 12, 2017 and then 2.0833% of the total shares vest monthly thereafter, with 100% of the total shares vested and exercisable on September 12, 2020, subject to the reporting person's provision of service to the issuer on each vesting date.
Each share of the issuer's Class B Common Stock will convert into 1 share of the issuer's Class A Common Stock (a) at the option of the holder or (b) automatically upon (i) any transfer which occurs after the closing of the IPO, except for certain permitted transfers, or (ii) the date that is the earliest of (x) the date specified by a vote of the holders of not less than a majority of the outstanding shares of Class B Common Stock, (y) seven years from the effective date of the IPO and (z) the date that the total number of shares of outstanding Class B Common Stock ceases to represent at least 15% of all outstanding shares of the issuer's common stock, and has no expiration date.
The holder elected to convert the Class B common stock to Class A common stock on a 1-for-1 basis.
/s/ Paul Porrini as attorney-in-fact for Jennifer Ceran
2019-05-14