0001209191-21-061550.txt : 20211025
0001209191-21-061550.hdr.sgml : 20211025
20211025181716
ACCESSION NUMBER: 0001209191-21-061550
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211022
FILED AS OF DATE: 20211025
DATE AS OF CHANGE: 20211025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WALSKE STEVEN
CENTRAL INDEX KEY: 0001085698
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38982
FILM NUMBER: 211345228
MAIL ADDRESS:
STREET 1: C/O PARAMETRIC TECHNOLOGY CORP
STREET 2: 128 TECHNOLOGY DR
CITY: WALTHAM
STATE: MA
ZIP: 02154
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medallia, Inc.
CENTRAL INDEX KEY: 0001540184
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 575 MARKET STREET
STREET 2: SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: (650) 321-3000
MAIL ADDRESS:
STREET 1: 575 MARKET STREET
STREET 2: SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
FORMER COMPANY:
FORMER CONFORMED NAME: Medallia Inc.
DATE OF NAME CHANGE: 20120123
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-10-22
0
0001540184
Medallia, Inc.
MDLA
0001085698
WALSKE STEVEN
C/O MEDALLIA, INC.
575 MARKET STREET, SUITE 1850
SAN FRANCISCO
CA
94105
1
0
0
0
Common Stock
2021-10-22
4
A
0
433
0.00
A
515799
D
The reported shares are represented by restricted stock units, or RSUs, all of which were vested on the award date.
/s/ Roxanne Oulman, by power of attorney
2021-10-25