0001415889-21-002474.txt : 20210514 0001415889-21-002474.hdr.sgml : 20210514 20210514165519 ACCESSION NUMBER: 0001415889-21-002474 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210513 FILED AS OF DATE: 20210514 DATE AS OF CHANGE: 20210514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOORE GARY B CENTRAL INDEX KEY: 0001493191 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35108 FILM NUMBER: 21925617 MAIL ADDRESS: STREET 1: 170 WEST TASMAN DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SERVICESOURCE INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001310114 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 810578975 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 707 17TH STREET STREET 2: SUITE 2500 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 7208898500 MAIL ADDRESS: STREET 1: 707 17TH STREET STREET 2: SUITE 2500 CITY: DENVER STATE: CO ZIP: 80202 FORMER COMPANY: FORMER CONFORMED NAME: SERVICESOURCE INTERNATIONAL LLC DATE OF NAME CHANGE: 20041129 4 1 form4-05142021_010539.xml X0306 4 2021-05-13 0001310114 SERVICESOURCE INTERNATIONAL, INC. SREV 0001493191 MOORE GARY B C/O SERVICESOURCE INTERNATIONAL, INC. 707 17TH ST., 25TH FLOOR DENVER CO 80202 true true false false CEO Common Stock 2021-05-13 4 F 0 36067 1.34 D 1787386 D The reported securities were withheld to satisfy the Reporting Person's tax liability in connection with the vesting of restricted stock units. /s/ Megan Fine, Attorney-in-Fact 2021-05-14