0001628280-21-011625.txt : 20210603
0001628280-21-011625.hdr.sgml : 20210603
20210603172730
ACCESSION NUMBER: 0001628280-21-011625
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210602
FILED AS OF DATE: 20210603
DATE AS OF CHANGE: 20210603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KEARL JEFF
CENTRAL INDEX KEY: 0001521855
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38553
FILM NUMBER: 21993686
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]
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_162275561556712.xml
FORM 4
X0306
4
2021-06-02
0
0001505952
DOMO, INC.
DOMO
0001521855
KEARL JEFF
C/O DOMO, INC.
772 UTAH VALLEY DRIVE
AMERICAN FORK
UT
84003
1
0
0
0
Class B Common Stock
2021-06-02
4
A
0
2257
0
A
24415
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. In the event the Reporting Person ceases to be a service provider, the unvested RSUs will be canceled by the Issuer.
Daniel Stevenson, attorney-in-fact
2021-06-03