0001601044-16-000008.txt : 20160219
0001601044-16-000008.hdr.sgml : 20160219
20160219194917
ACCESSION NUMBER: 0001601044-16-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20160217
FILED AS OF DATE: 20160219
DATE AS OF CHANGE: 20160219
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Quotient Technology Inc.
CENTRAL INDEX KEY: 0001115128
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310]
IRS NUMBER: 000000000
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
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: 161443280
MAIL ADDRESS:
STREET 1: C/O COUPONS.COM INCORPORATED
STREET 2: 400 LOGUE AVENUE
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-02-17
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
Chief Executive Officer
Restricted Stock Unit
0
2016-02-17
2016-02-17
4
A
0
100000
0
A
Common Stock
100000
100000
D
Stock Option (Right to Buy)
8.51
2016-02-17
2016-02-17
4
A
0
550000
0
A
2026-02-17
Common Stock
550000
550000
D
Par value of QUOT common stock is $0.00001 per share.
1/4th of restricted stock unit will vest annually beginning on February 17, 2017 and shares will be delivered to reporting person on each vest date, provided that the reporting person is a service provider to the Issuer on each vest date.
1/4th of the shares subject to the option will vest and become exercisable on February 17, 2017 and 1/48th of the shares will vest and become exercisable monthly thereafter, provided that the reporting person is a service provider to the Issuer on each such vest date.
/s/Connie Chen Atty-in-Fact for Steven R. Boal
2016-02-19
EX-24
2
boalpoa.txt
POWER OF ATTORNEY
LIMITED POWER OF ATTORNEY - SECTION 16 REPORTING PURPOSES
Know all by these present, that the undersigned hereby makes,
constitutes and appoints each of Connie Chen, Jennifer Ceran,
and Blair Andrew (Andy) Stewart, acting individually,
as the undersigneds true and lawful attorney in fact, with
full power and authority as hereinafter described on behalf of
and in the name, place and stead of the undersigned to:
1. execute for, and on behalf of, the undersigned, in
the undersigneds capacity as an officer andor director
of Quotient Technology Inc. (fka Coupons.com Incorporated)
(the Company), Forms 3, 4 and 5 in accordance with Section
16(a) of the Securities Exchange Act of 1934, as amended, and
the rules and regulations promulgated thereunder (the Exchange Act);
2. seek or obtain, as the undersigneds representative and
on the undersigneds behalf, information on transactions in the
Companys securities from any third party, including brokers,
employee benefit plan administrators and trustees, and the
undersigned hereby authorizes any such person to release any
such information to any attorney in fact and further approves
and ratifies any such release of information;
3. do and perform any and all acts for and on behalf of
the undersigned which may be necessary or desirable to prepare,
complete and execute any such Form 3, 4 or 5, and any amendments
thereto, or other required report and timely file such Forms or
reports with the United States Securities and Exchange Commission,
the New York Stock Exchange, NASDAQ Capital Market and any stock
exchange or similar authority as considered necessary or advisable
under Section 16(a) of the Exchange Act; and
4. take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of such attorney in fact, may
be of benefit to, in the best interest of, or legally required by,
the undersigned, it being understood that the documents executed by
such attorney in fact on behalf of the undersigned pursuant to this
Power of Attorney shall be in such form and shall contain such terms
and conditions as such attorney in fact may approve in such
attorney in facts sole discretion.
The undersigned hereby acknowledges that (a) the foregoing
attorneys in fact are serving in such capacity at the request of the
undersigned; (b) this Limited Power of Attorney authorizes, but does
not require, each such attorney in fact to act in his or her discretion
on information provided to such attorney in fact without independent
verification of such information; (c) any documents prepared andor
executed by any attorney in fact on behalf of the undersigned pursuant
to this Limited Power of Attorney shall be in such form and shall
contain such information and disclosure as such attorney in fact,
in his or her sole discretion, deems necessary or advisable;
(d) neither the Company nor any attorney in fact assumes
(i) any liability for the undersigneds responsibility to comply
with the requirements of the Exchange Act, (ii) any liability of
the undersigned for any failure to comply with such requirements,
or (iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and (e) this
Limited Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigneds obligations
under the Exchange Act, including, without limitation, the reporting
requirements under Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until
the undersigned is no longer required to file Forms 3, 4 and 5 with
respect to the undersigneds holdings of and transactions in,
securities issued by the Company, unless earlier revoked as to any
attorney in fact by the undersigned in a signed writing delivered
to such attorney in fact.
IN WITNESS WHEREOF, the undersigned has executed this Limited Power
of Attorney as of this 8th day of February, 2016.
Signature: Steven R. Boal
Print Name: Steven R. Boal