Filing Details

Accession Number:
0001366561-19-000053
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-06-18 20:57:40
Reporting Period:
2019-06-14
Accepted Time:
2019-06-18 20:57:40
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1366561 Smartsheet Inc SMAR Services-Prepackaged Software (7372) 202954357
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1674159 Elena Gomez C/O Smartsheet Inc.
10500 Ne 8Th St., Suite 1300
Bellevue WA 98004
Yes No No 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 2,500 $0.00 2,500 No 4 C Indirect By Juan L. Gomez and Elena C. Gomez Declaration of Trust
Class A Common Stock Disposition 2019-06-14 2,500 $45.76 0 No 4 S Indirect By Juan L. Gomez and Elena C. Gomez Declaration of Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Juan L. Gomez and Elena C. Gomez Declaration of Trust
No 4 S Indirect By Juan L. Gomez and Elena C. Gomez Declaration of Trust
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 2,500 $0.00 2,500 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
20,107 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class A Common Stock 10,000 Direct
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 Juan L. Gomez and Elena C Gomez, Trustees of the Juan L. Gomez and Elena C. Gomez Declaration of Trust Dated April 2, 2009.
  3. The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the holder.
  4. Each share of the issuer's Class B Common Stock will convert into 1 share of the issuer's Class A Common Stock (a) at the option of the holder or (b) automatically upon (i) any transfer which occurs after the closing of the IPO, 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.