0001505952-24-000035.txt : 20240612 0001505952-24-000035.hdr.sgml : 20240612 20240612163358 ACCESSION NUMBER: 0001505952-24-000035 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240611 FILED AS OF DATE: 20240612 DATE AS OF CHANGE: 20240612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KEARL JEFF CENTRAL INDEX KEY: 0001521855 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38553 FILM NUMBER: 241038857 MAIL ADDRESS: STREET 1: C/O SKULLCANDY, INC. STREET 2: 1441 WEST UTE BLVD., SUITE 250 CITY: PARK CITY STATE: UT ZIP: 84908 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_1718224428.xml FORM 4 X0508 4 2024-06-11 0 0001505952 DOMO, INC. DOMO 0001521855 KEARL JEFF 802 E. 1050 S. AMERICAN FORK UT 84003 1 0 0 0 0 Class B Common Stock 2024-06-11 4 A 0 25735 0 A 67136 D Class B Common Stock 2348 I Held by Pura Vida Investment Capital LLC The shares are represented by restricted stock units (each, an "RSU"). Each RSU represents the Reporting Person's right to receive one share of Class B Common Stock of the Issuer, subject to the applicable vesting schedule set forth in the Issuer's outside director compensation policy. In the event the Reporting Person ceases to be a service provider, the unvested RSUs will be canceled by the Issuer. The Reporting Person is the manager of the LLC and has voting and dispositive power. The Reporting Person disclaims beneficial ownership of the shares held by the LLC except, with respect to his pecuniary interest therein. /s/ Adam Gerulat, attorney-in-fact 2024-06-12