0001652155-20-000024.txt : 20201002 0001652155-20-000024.hdr.sgml : 20201002 20201002171100 ACCESSION NUMBER: 0001652155-20-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201001 FILED AS OF DATE: 20201002 DATE AS OF CHANGE: 20201002 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: 201221138 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_160167304594695.xml FORM 4 X0306 4 2020-10-01 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 2020-10-01 4 M 0 44000 2.72 A 218822 D Stock Option (right to buy Class A Common Stock) 2.72 2020-10-01 4 M 0 44000 0 D 2026-10-27 Class A Common Stock 44000.0 307944 D The option is fully vested and exercisable. /s/ Paul Porrini as attorney-in-fact for Jennifer Ceran 2020-10-02