0001209191-20-033096.txt : 20200529
0001209191-20-033096.hdr.sgml : 20200529
20200529212001
ACCESSION NUMBER: 0001209191-20-033096
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200529
FILED AS OF DATE: 20200529
DATE AS OF CHANGE: 20200529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MERESMAN STANLEY J
CENTRAL INDEX KEY: 0001283102
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38982
FILM NUMBER: 20930723
MAIL ADDRESS:
STREET 1: 2071 HUNTINGTON LANE
CITY: LOS ALTOS
STATE: CA
ZIP: 94024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medallia, Inc.
CENTRAL INDEX KEY: 0001540184
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 575 MARKET STREET
STREET 2: SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: (650) 321-3000
MAIL ADDRESS:
STREET 1: 575 MARKET STREET
STREET 2: SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
FORMER COMPANY:
FORMER CONFORMED NAME: Medallia Inc.
DATE OF NAME CHANGE: 20120123
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-05-29
0
0001540184
Medallia, Inc.
MDLA
0001283102
MERESMAN STANLEY J
C/O MEDALLIA, INC.
575 MARKET STREET, SUITE 1850
SAN FRANCISCO
CA
94105
1
0
0
0
Common Stock
2020-05-29
4
A
0
6541
0.00
A
21191
D
Common Stock
150000
I
See footnote
Common Stock
150000
I
See footnote
The reported shares are represented by restricted stock units, or RSUs, which vest on the earlier of (i) May 29, 2021 or (ii) the day prior to the date of the Issuer's next annual meeting of stockholders.
The shares are held of record by the Meresman Family Trust U/D/T dated 9/13/89 for which the reporting person serves as a trustee.
The shares are held of record by the Cassie H. Meresman Heritage Trust dated October 13, 2003 for which the reporting person serves as a trustee.
/s/ Roxanne Oulman, by power of attorney
2020-05-29