0001601045-18-000006.txt : 20180518
0001601045-18-000006.hdr.sgml : 20180518
20180518195600
ACCESSION NUMBER: 0001601045-18-000006
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171016
FILED AS OF DATE: 20180518
DATE AS OF CHANGE: 20180518
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boal Steven R.
CENTRAL INDEX KEY: 0001601045
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36331
FILM NUMBER: 18848163
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/A
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4/A
2017-10-16
2017-10-18
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
3406635
D
Common Stock
2882
I
By Family Trust
Common Stock
454733
I
by GRAT
Common Stock
454733
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
The Form 4 filed on October 18, 2017 incorrectly stated the number of shares held directly by the reporting person following the transactions reported on the original Form 4.
The number of derivative securities reported in column 5 reflects the number of shares held by the reporting person as of the filing date of this Form 4A and gives effect to all other amendments filed by the reporting person as of the date hereof.
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 directly held by Stuart Shiff TTEE of the JMB 2011 Trust dated September 23, 2011.
These shares are directly held by Stuart Shiff TTEE of the SEB 2011 Trust dated September 23, 2011.
/s/Margaret Tong Atty-in-Fact for Steven R. Boal
2018-05-18