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