0001505952-23-000044.txt : 20230413 0001505952-23-000044.hdr.sgml : 20230413 20230413201047 ACCESSION NUMBER: 0001505952-23-000044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230412 FILED AS OF DATE: 20230413 DATE AS OF CHANGE: 20230413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jolley David R CENTRAL INDEX KEY: 0001972400 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38553 FILM NUMBER: 23819486 MAIL ADDRESS: STREET 1: C/O DOMO, INC. STREET 2: 722 EAST UTAH VALLEY DRIVE CITY: AMERICAN FORK STATE: UT ZIP: 84003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOMO, INC. CENTRAL INDEX KEY: 0001505952 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 273687433 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 772 EAST UTAH VALLEY DRIVE CITY: AMERICAN FORK STATE: UT ZIP: 84003 BUSINESS PHONE: 801-899-1000 MAIL ADDRESS: STREET 1: 772 EAST UTAH VALLEY DRIVE CITY: AMERICAN FORK STATE: UT ZIP: 84003 FORMER COMPANY: FORMER CONFORMED NAME: LIGHTSTORM, INC. DATE OF NAME CHANGE: 20110425 FORMER COMPANY: FORMER CONFORMED NAME: SHACHO, INC. DATE OF NAME CHANGE: 20101117 4 1 wf-form4_168143103548647.xml FORM 4 X0407 4 2023-04-12 0 0001505952 DOMO, INC. DOMO 0001972400 Jolley David R 772 EAST UTAH VALLEY DR. AMERICAN FORK UT 84003 0 1 0 0 Chief Financial Officer 0 Class B Common Stock 2023-04-12 4 P 0 5000 14 A 230000 D /s/ Adam Gerulat, as attorney-in-fact 2023-04-13