SEC Form 4 · accession 0001567619-19-000747
SMARTSHEET INC · SMAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
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
Jan 3, 2019
Accepted (ET)
Jan 7, 2019 · 8:21 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 | Jan 3, 2019 | C | 968,077 | $0.00 | A | 968,077 | I | See footnote |
| Class A Common StockF1,F3 | Jan 3, 2019 | C | 426,167 | $0.00 | A | 426,167 | I | See footnote |
| Class A Common StockF1,F4 | Jan 3, 2019 | C | 61,233 | $0.00 | A | 61,233 | I | See footnote |
| Class A Common StockF1,F5 | Jan 3, 2019 | C | 22,406 | $0.00 | A | 22,406 | I | See footnote |
| Class A Common StockF1,F6 | Jan 3, 2019 | C | 522,117 | $0.00 | A | 522,117 | I | See footnote |
| Class A Common StockF7,F2 | Jan 3, 2019 | J | 968,077 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F3 | Jan 3, 2019 | J | 426,167 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F4 | Jan 3, 2019 | J | 61,233 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F5 | Jan 3, 2019 | J | 22,406 | — | D | 0 | I | See footnote |
| Class A Common StockF7,F6 | Jan 3, 2019 | J | 522,117 | — | D | 0 | I | See footnote |
| Class A Common StockF8 | holding | — | — | — | 8,866 | 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 | — | Jan 3, 2019 | C | 968,077 | D | — | — | Class A common stock | 968,077 | 12,261,171 | I |
| Class B Common StockF1,F3,F9 | — | Jan 3, 2019 | C | 426,167 | D | — | — | Class A common stock | 426,167 | 5,397,618 | I |
| Class B Common StockF1,F4,F9 | — | Jan 3, 2019 | C | 61,233 | D | — | — | Class A common stock | 61,233 | 775,553 | I |
| Class B Common StockF1,F5,F9 | — | Jan 3, 2019 | C | 22,406 | D | — | — | Class A common stock | 22,406 | 283,785 | I |
| Class B Common StockF1,F6,F9 | — | Jan 3, 2019 | C | 522,117 | D | — | — | Class A common stock | 522,117 | 6,612,880 | 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
Remarks
Exhibit List Exhibit 99.1 - Explanation of Responses Exhibit 99.2 - Joint Filers' Signatures Exhibit 99.3 - Joint Filer Information