0001505952-24-000028.txt : 20240522 0001505952-24-000028.hdr.sgml : 20240522 20240522203451 ACCESSION NUMBER: 0001505952-24-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240521 FILED AS OF DATE: 20240522 DATE AS OF CHANGE: 20240522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jolley David R CENTRAL INDEX KEY: 0001972400 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38553 FILM NUMBER: 24975004 MAIL ADDRESS: STREET 1: C/O DOMO, INC. STREET 2: 802 E. 1050 SOUTH 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] ORGANIZATION NAME: 06 Technology IRS NUMBER: 273687433 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 802 EAST 1050 SOUTH CITY: AMERICAN FORK STATE: UT ZIP: 84003 BUSINESS PHONE: 801-899-1000 MAIL ADDRESS: STREET 1: 802 EAST 1050 SOUTH 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 wk-form4_1716424478.xml FORM 4 X0508 4 2024-05-21 0 0001505952 DOMO, INC. DOMO 0001972400 Jolley David R 802 E. 1050 S. AMERICAN FORK UT 84003 0 1 0 0 Chief Financial Officer 0 Class B Common Stock 2024-05-21 4 A 0 70000 0 A 285543 D The shares are represented by restricted stock units ("RSUs"). Each RSU represents the reporting person's right to receive one share of the issuer's Class B common stock, subject to the applicable vesting schedule. If the reporting person ceases to be a service provider, the unvested RSUs will be cancelled by the issuer. /s/ Adam Gerulat, attorney-in-fact 2024-05-22