0001737521-21-000043.txt : 20211223
0001737521-21-000043.hdr.sgml : 20211223
20211223184114
ACCESSION NUMBER: 0001737521-21-000043
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211221
FILED AS OF DATE: 20211223
DATE AS OF CHANGE: 20211223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Arntz Michael
CENTRAL INDEX KEY: 0001737521
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38464
FILM NUMBER: 211518510
MAIL ADDRESS:
STREET 1: C/O SMARTSHEET INC.
STREET 2: 10500 NE 8TH ST, STE 1300
CITY: BELLEVUE
STATE: WA
ZIP: 98004
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/A
1
wf-form4a_164030286133938.xml
FORM 4/A
X0306
4/A
2021-12-21
2021-12-22
0
0001366561
SMARTSHEET INC
SMAR
0001737521
Arntz Michael
C/O SMARTSHEET INC.
10500 NE 8TH ST., SUITE 1300
BELLEVUE
WA
98004
0
1
0
0
Chief Revenue Officer
Class A Common Stock
2021-12-21
4
M
0
16827
2.72
A
30000
D
Class A Common Stock
2021-12-21
4
S
0
16827
74
D
13173
D
Class A Common Stock
2021-12-21
4
S
0
13173
76
D
0
D
Stock Option (right to buy Class A Common Stock)
2.72
2021-12-21
4
M
0
16827
0
D
2026-10-27
Class A Common Stock
16827.0
247173
D
The option is fully vested and exercisable.
This amended Form 4 is being filed to correct an inadvertent clerical error in the transaction dates on the Form 4 filed on December 22, 2021 from December 22, 2021 to December 21, 2021. All other information reported in the Form 4 remains the same.
/s/ Jolene Marshall as attorney-in-fact for Michael Arntz
2021-12-23