0001200925-20-000008.txt : 20200311
0001200925-20-000008.hdr.sgml : 20200311
20200311195616
ACCESSION NUMBER: 0001200925-20-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200309
FILED AS OF DATE: 20200311
DATE AS OF CHANGE: 20200311
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MADER MARK PATRICK
CENTRAL INDEX KEY: 0001200925
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38464
FILM NUMBER: 20706907
MAIL ADDRESS:
STREET 1: 3514 45TH AVE NE
CITY: SEATTLE
STATE: WA
ZIP: 98105
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_158397095984691.xml
FORM 4
X0306
4
2020-03-09
0
0001366561
SMARTSHEET INC
SMAR
0001200925
MADER MARK PATRICK
C/O SMARTSHEET INC.
10500 NE 8TH ST., SUITE 1300
BELLEVUE
WA
98004
1
1
0
0
President and CEO
Class A Common Stock
2020-03-09
4
M
0
15000
3.73
A
879878
D
Class A Common Stock
81250
I
By T77A Trust
Class A Common Stock
81250
I
By T49C Trust
Stock Option (right to buy Class A Common Stock)
3.73
2020-03-09
4
M
0
15000
0
D
2027-03-16
Class A Common Stock
15000.0
785000
D
These securities are held of record by Douglas Porter, Trustee of each of the T77A Trust and the T49C Trust, trusts for the benefit of the reporting person's children. The reporting person disclaims beneficial ownership over such securities, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
The option vested as to 25% of the total shares on February 1, 2018 and then 2.0833% of the total shares vest monthly thereafter, with 100% of the total shares vested and exercisable on February 1, 2021, subject to the reporting person's provision of service to the issuer on each vesting date.
/s/ Paul Porrini as attorney-in-fact for Mark Mader
2020-03-11