SEC Form 4 · accession 0001567619-18-007621
SMARTSHEET INC · SMAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owners
Insight Holdings Group, LLC
10% Owner
Insight Venture Partners VII, L.P.
10% Owner
Insight Venture Associates VII, L.P.
10% Owner
Insight Venture Associates VII, Ltd.
10% Owner
Period of report
Dec 6, 2018
Accepted (ET)
Dec 10, 2018 · 4:17 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 6, 2018 | C | 677,654 | $0.00 | A | 677,654 | I | See footnote |
| Class A Common StockF1,F3 | Dec 6, 2018 | C | 298,317 | $0.00 | A | 298,317 | I | See footnote |
| Class A Common StockF1,F4 | Dec 6, 2018 | C | 15,684 | $0.00 | A | 15,684 | I | See footnote |
| Class A Common StockF1,F5 | Dec 6, 2018 | C | 365,482 | $0.00 | A | 365,482 | I | See footnote |
| Class A Common StockF1,F6 | Dec 6, 2018 | C | 42,863 | $0.00 | A | 42,863 | I | See footnote |
| Class A Common StockF7,F2 | Dec 6, 2018 | J | 677,654 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F3 | Dec 6, 2018 | J | 298,317 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F4 | Dec 6, 2018 | J | 15,684 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F5 | Dec 6, 2018 | J | 365,482 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F6 | Dec 6, 2018 | J | 42,863 | — | D | 0 | I | See footnote |
| Class A Common StockF8 | holding | — | — | — | 3,651 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF1,F2,F9 | — | Dec 6, 2018 | C | 677,654 | D | — | — | Class A common stock | 677,654 | 13,229,248 | I |
| Class B Common StockF1,F3,F9 | — | Dec 6, 2018 | C | 298,317 | D | — | — | Class A common stock | 298,317 | 5,823,785 | I |
| Class B Common StockF1,F4,F9 | — | Dec 6, 2018 | C | 15,684 | D | — | — | Class A common stock | 15,684 | 306,191 | I |
| Class B Common StockF1,F5,F9 | — | Dec 6, 2018 | C | 365,482 | D | — | — | Class A common stock | 365,482 | 836,786 | I |
| Class B Common StockF1,F6,F9 | — | Dec 6, 2018 | C | 42,863 | D | — | — | Class A common stock | 42,863 | 7,134,997 | I |
Explanation of responses
- F1See Exhibit 99.1.
- F2See Exhibit 99.1.
- F3See Exhibit 99.1.
- F4See Exhibit 99.1.
- F5See Exhibit 99.1.
- F6See Exhibit 99.1.
- F7See Exhibit 99.1.
- F8See Exhibit 99.1.
- F9See Exhibit 99.1.