SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol SMARTSHEET INC [ SMAR ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 09/19/2019 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Class A Common Stock | 09/19/2019 | C | 4,801,227 | A | (1) | 5,059,041 | D | |||
Class A Common Stock | 09/19/2019 | C | 25,000 | A | (1) | 25,000 | I | By Samantha Frei Irrevocable Trust dated January 7, 2018(2) | ||
Class A Common Stock | 09/19/2019 | C | 25,000 | A | (1) | 25,000 | I | By Sofia Frei Irrevocable Trust dated January 7, 2018(2) | ||
Class A Common Stock | 09/19/2019 | C | 25,000 | A | (1) | 25,000 | I | By Tessa Frei Irrevocable Trust dated January 7, 2018(2) | ||
Class A Common Stock | 09/19/2019 | C | 25,000 | A | (1) | 25,000 | I | By Thomas Frei Irrevocable Trust dated January 7, 2018(2) | ||
Class A Common Stock | 09/19/2019 | C | 25,000 | A | (1) | 25,000 | I | By Tucker Frei Irrevocable Trust dated January 7, 2018(2) | ||
Class A Common Stock | 09/19/2019 | S | 65,000 | D | $40.9617(3) | 0 | I | By CC GRAT of 2017(4) | ||
Class A Common Stock | 09/19/2019 | S | 65,000 | D | $41.0126(5) | 0 | I | By Frei GRAT of 2017(4) | ||
Class A Common Stock | 09/19/2019 | S | 65,000 | D | $40.9506(6) | 0 | I | By KF GRAT of 2017(4) | ||
Class A Common Stock | 09/19/2019 | S | 65,000 | D | $41.0152(7) | 0 | I | By MF GRAT of 2017(4) | ||
Class A Common Stock | 09/19/2019 | S | 65,000 | D | $41.0171(8) | 0 | I | By SD GRAT of 2017(4) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class B Common Stock | (1) | 09/19/2019 | C | 4,801,227 | (1) | (1) | Class A Common Stock | 4,801,227 | $0 | 0 | D | ||||
Class B Common Stock | (1) | 09/19/2019 | C | 25,000 | (1) | (1) | Class A Common Stock | 25,000 | $0 | 0 | I | By Samantha Frei Irrevocable Trust dated January 7, 2018(2) | |||
Class B Common Stock | (1) | 09/19/2019 | C | 25,000 | (1) | (1) | Class A Common Stock | 25,000 | $0 | 0 | I | By Sofia Frei Irrevocable Trust dated January 7, 2018(2) | |||
Class B Common Stock | (1) | 09/19/2019 | C | 25,000 | (1) | (1) | Class A Common Stock | 25,000 | $0 | 0 | I | By Tessa Frei Irrevocable Trust dated January 7, 2018(2) | |||
Class B Common Stock | (1) | 09/19/2019 | C | 25,000 | (1) | (1) | Class A Common Stock | 25,000 | $0 | 0 | I | By Thomas Frei Irrevocable Trust dated January 7, 2018(2) | |||
Class B Common Stock | (1) | 09/19/2019 | C | 25,000 | (1) | (1) | Class A Common Stock | 25,000 | $0 | 0 | I | By Tucker Frei Irrevocable Trust dated January 7, 2018(2) | |||
Stock Option (right to buy Class B Common Stock) | $1.52 | 09/19/2019 | J(9) | 25,000 | (10) | 02/18/2025 | Class B Common Stock | 25,000 | $0 | 0 | D | ||||
Stock Option (right to buy Class A Common Stock) | $1.52 | 09/19/2019 | J(9) | 25,000 | (10) | 02/18/2025 | Class A Common Stock | 25,000 | $0 | 25,000 | D |
Explanation of Responses: |
1. Does not represent a sale or purchase of the issuer's common stock but the automatic conversion of shares of the issuer's Class B Common Stock into shares of the issuer's Class A Common Stock effective as of the date that the total number of shares of outstanding Class B Common Stock ceased to represent at least 15% of all outstanding shares of the issuer's common stock, as set forth in the issuer's Amended and Restated Articles of Incorporation. |
2. These securities are held of record by Mark A. Frei, Trustee of each of the Samantha Frei Irrevocable Trust dated January 7, 2018, Sofia Frei Irrevocable Trust dated January 7, 2018, Tessa Frei Irrevocable Trust dated January 7, 2018, Thomas Frei Irrevocable Trust dated January 7, 2018, and Tucker Frei Irrevocable Trust dated January 7, 2018, trusts for the benefit of the reporting person's minor children. The reporting person disclaims beneficial ownership over such securities, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
3. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $40.82 to $41.31 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. |
4. These securities are held of record by Brent Frei, Trustee of each of the CC GRAT of 2017, the Frei GRAT of 2017, the KF GRAT of 2017, the MF GRAT of 2017 and the SD GRAT of 2017. |
5. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $40.82 to $41.47 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. |
6. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $40.82 to $41.32 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. |
7. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $40.82 to $41.45 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. |
8. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $40.82 to $41.41 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. |
9. In connection with the automatic conversion described in note (1) above, outstanding Class B Common Stock options that were issued under the issuer's 2005 Option/Restricted Stock Plan and 2015 Equity Incentive Plan remain unchanged except that the underlying shares are now Class A Common Stock. |
10. The option is fully vested and exercisable. |
Remarks: |
/s/ Paul Porrini as attorney-in-fact for Brent Frei | 09/23/2019 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |