Filing Details

Accession Number:
0001685189-19-000006
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-06-18 20:53:51
Reporting Period:
2019-06-14
Accepted Time:
2019-06-18 20:53:51
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1366561 Smartsheet Inc SMAR () DE
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1333235 Madrona Venture Fund Iii-A Lp C/O Madrona Venture Group
999 Third Ave., 34Th Floor
Seattle WA 98104
No No Yes No
1333247 P L Iii Fund Venture Madrona C/O Madrona Venture Group
999 Third Ave., 34Th Floor
Seattle WA 98104
No No Yes No
1635160 Madrona Venture Fund Iv-A, Lp C/O Madrona Venture Group
999 Third Ave., 34Th Floor
Seattle WA 98104
No No Yes No
1635209 Madrona Venture Fund Iv, Lp C/O Madrona Venture Group
999 Third Ave., 34Th Floor
Seattle WA 98104
No No Yes No
1685189 Iii Partners Investment Madrona C/O Madrona Venture Group
999 Third Ave., 34Th Floor
Seattle WA 98104
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2019-06-14 4,125,207 $0.00 4,125,207 No 4 C Indirect By Madrona Venture Fund III, L.P.
Class A Common Stock Disposition 2019-06-14 4,125,207 $43.50 0 No 4 S Indirect By Madrona Venture Fund III, L.P.
Class A Common Stock Acquisiton 2019-06-14 164,797 $0.00 164,797 No 4 C Indirect By Madrona Venture Fund III-A, L.P.
Class A Common Stock Disposition 2019-06-14 164,797 $43.50 0 No 4 S Indirect By Madrona Venture Fund III-A, L.P.
Class A Common Stock Acquisiton 2019-06-14 863,001 $0.00 863,001 No 4 C Indirect By Madrona Venture Fund IV, L.P.
Class A Common Stock Disposition 2019-06-14 863,001 $43.50 0 No 4 S Indirect By Madrona Venture Fund IV, L.P.
Class A Common Stock Acquisiton 2019-06-14 21,995 $0.00 21,995 No 4 C Indirect By Madrona Venture Fund IV-A, L.P.
Class A Common Stock Disposition 2019-06-14 21,995 $43.50 0 No 4 S Indirect By Madrona Venture Fund IV-A, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Madrona Venture Fund III, L.P.
No 4 S Indirect By Madrona Venture Fund III, L.P.
No 4 C Indirect By Madrona Venture Fund III-A, L.P.
No 4 S Indirect By Madrona Venture Fund III-A, L.P.
No 4 C Indirect By Madrona Venture Fund IV, L.P.
No 4 S Indirect By Madrona Venture Fund IV, L.P.
No 4 C Indirect By Madrona Venture Fund IV-A, L.P.
No 4 S Indirect By Madrona Venture Fund IV-A, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Class B Common Stock Disposition 2019-06-14 4,125,207 $0.00 4,125,207 $0.00
Class A Common Stock Class B Common Stock Disposition 2019-06-14 164,797 $0.00 164,797 $0.00
Class A Common Stock Class B Common Stock Disposition 2019-06-14 863,001 $0.00 863,001 $0.00
Class A Common Stock Class B Common Stock Disposition 2019-06-14 21,995 $0.00 21,995 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
6,132,030 No 4 C Indirect
244,959 No 4 C Indirect
1,282,835 No 4 C Indirect
32,692 No 4 C Indirect
Footnotes
  1. Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock.
  2. These securities are held of record by Madrona Venture Fund III, L.P. ("Madrona III") and Madrona Venture Fund III-A, L.P. ("Madrona III-A"), as applicable. Madrona Investment Partners III, L.P. ("Madrona Partners III") is the general partner of Madrona III and Madrona III-A, and Madrona III General Partner, LLC ("Madrona III LLC") is the general partner of Madrona Partners III. Matthew McIlwain, a member of the issuer's board of directors, together with Tom Alberg, Paul Goodrich, Scott Jacobson, Len Jordon, and Tim Porter, are the managing members of Madrona III LLC, and each may be deemed to share voting and investment power over the securities held by Madrona III and Madrona III-A. Each of such individuals disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the securities' inclusion herein shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or any other purposes.
  3. These securities are held of record by Madrona Venture Fund IV, L.P. ("Madrona IV") and Madrona Venture Fund IV-A, L.P. ("Madrona IV-A"), as applicable. Madrona Investment Partners IV, L.P.("Madrona Partners IV") is the general partner of Madrona IV and Madrona IV-A, and Madrona IV General Partner, LLC ("Madrona IV LLC") is the general partner of Madrona Partners IV. Matthew McIlwain, a member of the issuer's board of directors, together with Tom Alberg, Paul Goodrich, Scott Jacobson, Len Jordon, and Tim Porter, are the managing members of Madrona IV LLC, and each may be deemed to share voting and investment power over the securities held by Madrona Fund IV and Madrona Fund IV-A. Each of such individuals disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the securities' inclusion herein shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or any other purposes.
  4. The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis (a) at the option of the holder or (b) automatically upon (i) any transfer, except for certain permitted transfers, or (ii) the date that is the earliest of (x) the date specified by a vote of the holders of not less than a majority of the outstanding shares of Class B Common Stock, (y) April 26, 2025 and (z) the date that the total number of shares of outstanding Class B Common Stock ceases to represent at least 15% of all outstanding shares of the issuer's common stock, and has no expiration date.
  5. The holder elected to convert the Class B common stock to Class A common stock on a 1-for-1 basis.