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