Glenn Solomon Form 4 DOMO / Glenn Solomon ownership change

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^*

Solomon Glenn

(Last)

(First)

(Middle)

C/O DOMO, INC.

772 EAST UTAH VALLEY DRIVE

(Street)

AMERICAN FORK

84003

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
DOMO, INC. [ DOMO ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
07/03/2018

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Class B Common Stock	07/03/2018		C		29,643	A	⁽¹⁾	29,643	I	See footnote⁽²⁾
Class B Common Stock	07/03/2018		C		515,496	A	⁽¹⁾	545,139	I	See footnote⁽²⁾
Class B Common Stock	07/03/2018		C		78,973	A	⁽¹⁾	624,112	I	See footnote⁽²⁾
Class B Common Stock	07/03/2018		C		628	A	⁽¹⁾	628	I	See footnote⁽³⁾
Class B Common Stock	07/03/2018		C		10,930	A	⁽¹⁾	11,558	I	See footnote⁽³⁾
Class B Common Stock	07/03/2018		C		1,674	A	⁽¹⁾	13,232	I	See footnote⁽³⁾
Class B Common Stock	07/03/2018		C		197,669	A	⁽¹⁾	197,669	I	See footnote⁽⁴⁾
Class B Common Stock								20,000	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Series A Preferred Stock	⁽¹⁾	07/03/2018		C			29,643	⁽¹⁾	⁽¹⁾	Class B Common Stock	29,643	$0	0	I	See footnote⁽²⁾
Series C Preferred Stock	⁽¹⁾	07/03/2018		C			515,496	⁽¹⁾	⁽¹⁾	Class B Common Stock	515,496	$0	0	I	See footnote⁽²⁾
Series D Preferred Stock	⁽¹⁾	07/03/2018		C			78,973	⁽¹⁾	⁽¹⁾	Class B Common Stock	78,973	$0	0	I	See footnote⁽²⁾
Series A Preferred Stock	⁽¹⁾	07/03/2018		C			628	⁽¹⁾	⁽¹⁾	Class B Common Stock	628	$0	0	I	See footnote⁽³⁾
Series C Preferred Stock	⁽¹⁾	07/03/2018		C			10,930	⁽¹⁾	⁽¹⁾	Class B Common Stock	10,930	$0	0	I	See footnote⁽³⁾
Series D Preferred Stock	⁽¹⁾	07/03/2018		C			1,674	⁽¹⁾	⁽¹⁾	Class B Common Stock	1,674	$0	0	I	See footnote⁽³⁾
Series D-2 Preferred Stock	⁽¹⁾	07/03/2018		C			197,669	⁽¹⁾	⁽¹⁾	Class B Common Stock	197,669	$0	0	I	See footnote⁽⁴⁾

Explanation of Responses:

1. Each of the Series A Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series D-2 Preferred Stock automatically converted into shares of Class B Common Stock on a one to one basis immediately prior to the completion of the Issuer's initial public offering of Class B Common Stock and has no expiration date.

2. The reported securities are held directly by GGV Capital IV L.P. GGV Capital IV L.L.C. is the general partner of GGV Capital IV L.P., and the Reporting Person, as a managing director of GGV Capital IV L.L.C., may be deemed to share voting and investment control over these shares. The Reporting Person disclaims beneficial ownership of the securities held by GGV Capital IV L.P. except to the extent of any pecuniary interest therein.

3. The reported securities are held directly by GGV Capital IV Entrepreneurs Fund L.P. GGV Capital IV L.L.C. is the general partner of GGV Capital IV Entrepreneurs Fund L.P., and the Reporting Person, as a managing director of GGV Capital IV L.L.C., may be deemed to share voting and investment control over these shares. The Reporting Person disclaims beneficial ownership of the securities held by GGV Capital IV Entrepreneurs Fund L.P. except to the extent of any pecuniary interest therein.

4. The reported securities are held directly by GGV Capital Select L.P. GGV Capital Select L.L.C. is the general partner of GGV Capital Select L.P., and the Reporting Person, as a managing director of GGV Capital Select L.L.C., may be deemed to share voting and investment control over these shares. The Reporting Person disclaims beneficial ownership of the securities held by GGV Capital Select L.P. except to the extent of any pecuniary interest therein.

Remarks:

	/s/ Daniel Stevenson, attorney-in-fact	07/03/2018
	** 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.

Glenn Solomon Form 4DOMO / Glenn Solomon ownership change