0001628280-21-004488.txt : 20210310 0001628280-21-004488.hdr.sgml : 20210310 20210310213727 ACCESSION NUMBER: 0001628280-21-004488 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210309 FILED AS OF DATE: 20210310 DATE AS OF CHANGE: 20210310 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: James Joshua G CENTRAL INDEX KEY: 0001366770 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38553 FILM NUMBER: 21731633 MAIL ADDRESS: STREET 1: 550 E TIMPANOGOS CIRCLE CITY: OREM STATE: UT ZIP: 84057 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_161543023259197.xml FORM 4 X0306 4 2021-03-09 0 0001505952 DOMO, INC. DOMO 0001366770 James Joshua G C/O DOMO, INC. 772 EAST UTAH VALLEY DRIVE AMERICAN FORK UT 84003 1 1 1 0 Founder, CEO and Chairman Class B Common Stock 2021-03-09 4 A 0 120000 0 A 883131 D Class B Common Stock 2143 I By spouse The shares are represented by restricted stock units ("RSUs"). 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. In the event the Reporting Person ceases to be a Service Provider, the unvested RSUs will be cancelled by the Issuer. /s/ Daniel Stevenson, attorney-in-fact 2021-03-10