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