0001209191-21-027058.txt : 20210416 0001209191-21-027058.hdr.sgml : 20210416 20210416192709 ACCESSION NUMBER: 0001209191-21-027058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210415 FILED AS OF DATE: 20210416 DATE AS OF CHANGE: 20210416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Duan Jimmy C. CENTRAL INDEX KEY: 0001447252 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38982 FILM NUMBER: 21832726 MAIL ADDRESS: STREET 1: 4140 DUBLIN BLVD STREET 2: SUITE 400 CITY: DUBLIN STATE: CA ZIP: 94568 FORMER NAME: FORMER CONFORMED NAME: Duan Jimmy DATE OF NAME CHANGE: 20081007 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 2021-04-15 0 0001540184 Medallia, Inc. MDLA 0001447252 Duan Jimmy C. C/O MEDALLIA, INC. 575 MARKET STREET, SUITE 1850 SAN FRANCISCO CA 94105 0 1 0 0 Chief Customer Officer and EVP Common Stock 2021-04-15 4 A 0 81812 0.00 A 284536 D The reported shares are represented by restricted stock units, or RSUs, pursuant to which one-third of the RSUs vest on April 15, 2022 and the remaining RSUs vest in eight equal quarterly installments thereafter. /s/ Drew Grasham, by power of attorney 2021-04-16