SEC Form 4/A · accession 0001567619-19-000745
SMARTSHEET INC · SMAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
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)
Jan 7, 2019 · 8:18 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,F3 | Dec 6, 2018 | C | 42,863 | $0.00 | A | 42,863 | I | See footnote |
| Class A Common StockF1,F2,F4 | Dec 6, 2018 | C | 15,684 | $0.00 | A | 15,684 | I | See footnote |
| Class A Common StockF1,F5,F3 | Dec 6, 2018 | J | 42,863 | $0.00 | D | 0 | I | See footnote |
| Class A Common StockF1,F5,F4 | Dec 6, 2018 | J | 15,684 | $0.00 | D | 0 | 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,F3,F6 | — | Dec 6, 2018 | C | 42,863 | D | — | — | Class A common stock | 42,863 | 836,786 | I |
| Class B Common StockF1,F2,F4,F6 | — | Dec 6, 2018 | C | 15,684 | D | — | — | Class A common stock | 15,684 | 306,191 | 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.
Remarks
Exhibit List Exhibit 99.1 - Explanation of Responses Exhibit 99.2 - Joint Filers' Signatures Exhibit 99.3 - Joint Filer Information