Filing Details

Accession Number:
0001628280-18-009099
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-07-03 20:18:42
Reporting Period:
2018-07-03
Accepted Time:
2018-07-03 20:18:42
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1505952 Domo Inc. DOMO () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1366770 G Joshua James C/O Domo, Inc.
772 East Utah Valley Drive
American Fork UT 84003
Founder, Ceo And Chairman Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class B Common Stock Acquisiton 2018-07-03 100,000 $21.00 100,000 No 4 P Direct
Class B Common Stock Acquisiton 2018-07-03 1,700 $21.00 2,143 No 4 P Indirect By spouse
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 P Indirect By spouse
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Series 1 Preferred Stock Disposition 2018-07-03 3,263,659 $0.00 3,263,659 $0.00
Class B Common Stock Class A Common Stock Acquisiton 2018-07-03 3,263,659 $0.00 3,263,659 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
3,263,659 No 4 C Indirect
Footnotes
  1. The Series 1 Preferred Stock automatically converted into shares of Class A 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 of record by Cocolalla, LLC. The Reporting Person is the Manager of Cocolalla, LLC with voting and dispositive power over the shares.
  3. The Class A Common Stock is convertible into shares of Class B Common Stock on a one to one basis at any time at the election of the Reporting Person and has no expiration date.