0001209191-19-019513.txt : 20190314 0001209191-19-019513.hdr.sgml : 20190314 20190314173456 ACCESSION NUMBER: 0001209191-19-019513 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190312 FILED AS OF DATE: 20190314 DATE AS OF CHANGE: 20190314 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: 19682082 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 2019-03-12 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 2019-03-12 5 G 0 E 127533 0.00 D 0 I By GRAT Common Stock 2019-03-12 5 G 0 E 127533 0.00 D 0 I By Wife GRAT Common Stock 2019-03-12 5 G 0 E 255066 0.00 A 912348 I By Family Trust Common Stock 3237 I By Child Trust Common Stock 3237 I By Child Trust Common Stock 3237 I By Child Trust Common Stock 3482702 D Represents shares transferred by Steven R. Boal TTEE of the Steven R. Boal Annuity Trust dated December 6, 2013 (the "Annuity Trust of Mr. Boal"). Mr. Boal simultaneously contributed these shares to the Steven R. Boal & Michelle Boal TTEE SMSEJ Family Trust U/A dated July 18, 2005 of which Mr. Boal is a co-trustee. These shares were held directly by the Annuity Trust of Mr. Boal. Represents shares transferred by Steven R. Boal TTEE of the Michele L. Boal Annuity Trust dated December 6, 2013 (the "Annuity Trust of Mrs. Boal"). Mrs. Boal simultaneously contributed these shares to the SMSEJ Family Trust U/A/ dated July 19, 2005 of which Mrs. Boal is a co-trustee. These shares were held directly by Annuity Trust of Mrs. Boal. Represents 127,533 shares contributed by the Annuity Trust of Mr. Boal and 127,533 shares by the Annuity Trust of Mrs. Boal. 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 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 2019-03-14