SEC Form 5 · accession 0001225208-19-002200
SMARTSHEET INC · SMAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James N White
Director
Period of report
Jan 31, 2019
Accepted (ET)
Feb 11, 2019 · 7:22 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001366561
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1,F2 | Dec 24, 2018 | G | 108,445 | $0.00 | A | 108,445 | I | By Ltd Partnership (ROSE) |
| Class A Common StockF1,F3 | Dec 24, 2018 | G | 108,445 | $0.00 | D | 50,617 | I | By Trust |
| Class A Common StockF4 | holding | — | — | — | 10,000 | D | ||
| Class A Common StockF5 | holding | — | — | — | 43,557 | I | By Ltd Liability Company (SHM) |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Gifts without consideration.
- F2Shares held by a limited partnership of which the reporting person is a trustee of a trust which is the general partner. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein.
- F3Shares held by a trust of which the reporting person is a trustee. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein.
- F4The reporting person shares pecuniary interest in these shares with other individuals pursuant to a contractual relationship. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest in these shares.
- F5Shares held by Sutter Hill Management Company, L.L.C. The reporting person is a trustee of a trust which is a member of Sutter Hill Management Company, L.L.C. The reporting person disclaims beneficial ownership in these shares except as to the reporting person's pecuniary interest therein.