0001628280-20-006427.txt : 20200505 0001628280-20-006427.hdr.sgml : 20200505 20200505160159 ACCESSION NUMBER: 0001628280-20-006427 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200501 FILED AS OF DATE: 20200505 DATE AS OF CHANGE: 20200505 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Daniel Daniel David III CENTRAL INDEX KEY: 0001774549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38553 FILM NUMBER: 20848747 MAIL ADDRESS: STREET 1: 772 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_158870890213123.xml FORM 4 X0306 4 2020-05-01 0 0001505952 DOMO, INC. DOMO 0001774549 Daniel Daniel David III 772 UTAH VALLEY DRIVE AMERICAN FORK UT 84003 1 0 0 0 Class B Common Stock 2020-05-01 4 A 0 1000 0 A 1709 I by Spouse Class B Common Stock 8698 D The shares are represented by restricted stock units ("RSUs"). Each RSU represents the Reporting Person's spouse'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's spouse ceases to be a Service Provider (as defined in the Issuer's 2018 Equity Incentive Plan), the unvested RSUs will be cancelled by the Issuer. Includes 709 shares acquired pursuant to the Issuer's 2018 Employee Stock Purchase Plan on April 1, 2020 for the purchase period of October 1, 2019 through April 1, 2020, which the reporting person is voluntarily reporting on this Form 4. This transaction is exempt under Rule 16b-3(c). Dan Stevenson, attorney-in-fact 2020-05-04