0001415889-21-002548.txt : 20210518 0001415889-21-002548.hdr.sgml : 20210518 20210518170631 ACCESSION NUMBER: 0001415889-21-002548 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210514 FILED AS OF DATE: 20210518 DATE AS OF CHANGE: 20210518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bomba Jane L Okun CENTRAL INDEX KEY: 0001324628 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35108 FILM NUMBER: 21937049 MAIL ADDRESS: STREET 1: 4TH FLOOR, ROPEMAKER PLACE STREET 2: 25 ROPEMAKER STREET CITY: LONDON STATE: X0 ZIP: EC2Y 9LY FORMER NAME: FORMER CONFORMED NAME: Okun Jane L DATE OF NAME CHANGE: 20050422 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 form4-05182021_020520.xml X0306 4 2021-05-14 0001310114 SERVICESOURCE INTERNATIONAL, INC. SREV 0001324628 Bomba Jane L Okun C/O SERVICESOURCE INTERNATIONAL, INC. 707 17TH ST., 25TH FLOOR DENVER CO 80202 true false false false Common Stock 2021-05-14 4 A 0 100000 0 A 217975 D The reported shares are represented by restricted stock units that vest on May 14, 2022. /s/ Megan Fine, Attorney-in-Fact 2021-05-18