0001209191-19-012745.txt : 20190222
0001209191-19-012745.hdr.sgml : 20190222
20190222175447
ACCESSION NUMBER: 0001209191-19-012745
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190220
FILED AS OF DATE: 20190222
DATE AS OF CHANGE: 20190222
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: 19627529
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
2019-02-20
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
2019-02-20
4
F
0
15129
10.28
D
3332273
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 February 20, 2019, to satisfy tax withholding obligations that arose in connection with a vesting event in connection with an award of Restricted Stock Units (the "RSUs") consisting of 175,000 shares granted on February 5, 2015. The RSUs vest in four equal annual installments from February 20, 2015.
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
2019-02-22