0001209191-18-061017.txt : 20181204 0001209191-18-061017.hdr.sgml : 20181204 20181204180242 ACCESSION NUMBER: 0001209191-18-061017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181201 FILED AS OF DATE: 20181204 DATE AS OF CHANGE: 20181204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boal Steven R. CENTRAL INDEX KEY: 0001601045 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36331 FILM NUMBER: 181218073 MAIL ADDRESS: STREET 1: C/O QUOTIENT TECHNOLOGY INC. STREET 2: 400 LOGUE AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Quotient Technology Inc. CENTRAL INDEX KEY: 0001115128 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] IRS NUMBER: 770485123 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 LOGUE AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650-605-4600 MAIL ADDRESS: STREET 1: 400 LOGUE AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 FORMER COMPANY: FORMER CONFORMED NAME: COUPONS.com Inc DATE OF NAME CHANGE: 20131023 FORMER COMPANY: FORMER CONFORMED NAME: COUPONS INC DATE OF NAME CHANGE: 20050802 FORMER COMPANY: FORMER CONFORMED NAME: COUPONS COM INC DATE OF NAME CHANGE: 20000522 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-12-01 0 0001115128 Quotient Technology Inc. QUOT 0001601045 Boal Steven R. C/O QUOTIENT TECHNOLOGY INC. 400 LOGUE AVENUE MOUNTAIN VIEW CA 94043 1 1 0 0 Executive Chairman Common Stock 2018-12-01 4 F 0 5919 12.29 D 3473628 D Common Stock 657282 I By Family Trust Common Stock 127533 I By GRAT Common Stock 127533 I By Wife GRAT Common Stock 3237 I By Child Trust Common Stock 3237 I By Child Trust Common Stock 3237 I By Child Trust Represents the number of shares withheld by and surrendered to the Issuer on December 1, 2018, to satisfy tax withholding obligations that arose in connection with the vesting of the Restricted Stock Units (the "RSUs") for 191,000 shares. The RSUs vest in 6.25% quarterly installments over a four-year period from March 1, 2018. The total includes 410,875 shares underlying outstanding RSUs that were previously reported in Table II of the Form 4s filed with the Securities and Exchange Commission on February 11, 2015, February 19, 2016, April 21, 2017, and March 5, 2018. These shares are held directly by the SMSEJ Family Trust U/A dated July 18, 2005 of which Mr. Boal is a co-trustee. These shares are held directly by Steven R. Boal TTEE of the Steven R. Boal Annuity Trust dated December 6, 2013. These shares are held directly by Steven R. Boal TTEE of the Michele L. Boal Annuity Trust dated December 6, 2013. These shares are held directly by Stuart Shiff TTEE of the EBB 2011 Trust dated September 23, 2011. These shares are held directly by Stuart Shiff TTEE of the JMB 2011 Trust dated September 23, 2011. These shares are held directly by Stuart Shiff TTEE of the SEB 2011 Trust dated September 23, 2011. /s/ Margaret Tong, Attorney-In-Fact for Steven R. Boal 2018-12-04