Domo Inc.

11/08/2024 | Press release | Distributed by Public on 11/08/2024 08:36

Initial Statement of Beneficial Ownership - Form 3

Ownership Submission
FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person *
Crane Tod
2. Date of Event Requiring Statement (Month/Day/Year)
2024-11-01
3. Issuer Name and Ticker or Trading Symbol
DOMO, INC. [DOMO]
(Last) (First) (Middle)
C/O DOMO, INC , 802 E. 1050 S.
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
Chief Financial Officer /
5. If Amendment, Date Original Filed (Month/Day/Year)
(Street)
AMERICAN FORK UT 84003
6. Individual or Join/Group Filing (Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security 2. Amount of Securities Beneficially Owned 3. Ownership Form: Direct (D) or Indirect (I) 4. Nature of Indirect Beneficial Ownership
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 2. Date Exercisable and Expiration Date 3. Title and Amount of Securities Underlying Derivative Security 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 6. Nature of Indirect Beneficial Ownership
Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Crane Tod
C/O DOMO, INC
802 E. 1050 S.
AMERICAN FORK, UT84003


Chief Financial Officer

Signatures

/s/ Alexis Coll, attorney-in-fact 2024-11-08
**Signature of Reporting Person Date

Explanation of Responses:

(*) If the form is filed by more than one reporting person, see Instruction 5(b)(v).
(**) Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) Includes 154,283 shares underlying outstanding grants of restricted stock units ("RSUs") as follows: (i) 657 RSUs, vesting in equal quarterly installments; (ii) 188 RSUs, vesting in equal quarterly installments; (iii) 938 RSUs, vesting in equal quarterly installments; (iv) 12,500 RSUs, vesting in equal quarterly installments; (v) 70,000 RSUs, one-fourth of which will vest on December 20, 2024, with one-sixteenth of the total number of RSUs vesting in equal quarterly installments thereafter; (vi) 20,000 RSUs, one-fourth of which will vest on June 20, 2025, with one-sixteenth of the total number of RSUs vesting in equal quarterly installments thereafter; and (vii) 50,000 RSUs, one-fourth of which will vest on September 20, 2025, with one-sixteenth of the total number of RSUs vesting in equal quarterly installments thereafter. Each RSU represents a contingent right to receive one share of our Class B common stock, subject to continued service through the applicable vesting date(s).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.