0001628280-22-016245.txt : 20220603 0001628280-22-016245.hdr.sgml : 20220603 20220603191705 ACCESSION NUMBER: 0001628280-22-016245 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210720 FILED AS OF DATE: 20220603 DATE AS OF CHANGE: 20220603 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: 22996355 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_165429820961090.xml FORM 4 X0306 4 2021-07-20 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 2022-06-02 4 A 0 5049 0 A 21309 D Class B Common Stock 2021-07-20 4 A 0 1000 0 A 4938 I by Spouse The shares are represented by restricted stock units (each, an "RSU"). Each RSU represents the right of the holder thereof to receive one share of Class B Common Stock of the Issuer, subject to the applicable vesting schedule. In the event the holder thereof ceases to be a service provider, the unvested RSUs will be canceled by the Issuer. Dan Stevenson, attorney-in-fact 2022-06-03