0000899243-19-019915.txt : 20190718 0000899243-19-019915.hdr.sgml : 20190718 20190718172457 ACCESSION NUMBER: 0000899243-19-019915 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190718 FILED AS OF DATE: 20190718 DATE AS OF CHANGE: 20190718 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Oulman Roxanne CENTRAL INDEX KEY: 0001523073 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38982 FILM NUMBER: 19961941 MAIL ADDRESS: STREET 1: 4140 DUBLIN BOULEVARD STREET 2: SUITE 400 CITY: DUBLIN STATE: CA ZIP: 94568 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-07-18 0 0001540184 Medallia, Inc. MDLA 0001523073 Oulman Roxanne C/O MEDALLIA, INC 575 MARKET STREET, SUITE 1850 SAN FRANCISCO CA 94105 0 1 0 0 CFO and EVP Class A Common Stock 525000 D Employee Stock Option (right to buy) 6.73 2028-11-14 Class A Common Stock 1000000 D Each share of Class A Common Stock shall be reclassified into one share of Common Stock immediately prior to the completion of the Issuer's initial public offering of Common Stock. The reported shares are represented by restricted stock units, or RSUs, which vest as follows: (i) 62,500 RSUs vest on January 14, 2020 and an additional 187,500 RSUs vest in 12 equal quarterly installments beginning on February 5, 2020; and (ii) 91,666 RSUs vest on April 15, 2020 and an additional 183,334 RSUs vest in 8 equal quarterly installments thereafter. One-fourth of the shares subject to the option vest on November 5, 2019 and 1/48th vest monthly thereafter. Exhibit 24 - Power of Attorney /s/ Alan K. Grebene, by power of attorney 2019-07-18 EX-24 2 attachment1.htm EX-24 DOCUMENT

                                                                      Exhibit 24

                               POWER OF ATTORNEY

     The undersigned, as a Section 16 reporting person of Medallia,Inc. (the
"Company"), hereby constitutes and appoints Alan Grebene, Margaret Chow and Leah
Wilson, and each of them, as the undersigned's true and lawful attorney-in-fact
to:

     1.  complete and execute Forms 3, 4 and 5 and other forms and all
         amendments thereto as such attorney-in-fact shall in his discretion
         determine to be required or advisable pursuant to Section 16 of the
         Securities Exchange Act of 1934 (as amended) and the rules and
         regulations promulgated thereunder, or any successor laws and
         regulations, as a consequence of the undersigned's ownership,
         acquisition or disposition of securities of the Company; and

     2.  do all acts necessary in order to file such forms with the SEC, any
         securities exchange or national association, the Company and such other
         person or agency as the attorneys-in-fact shall deem appropriate.

     The undersigned hereby ratifies and confirms all that said attorneys-in
-fact and agents shall do or cause to be done by virtue hereof.  The undersigned
acknowledges that the foregoing  attorneys-in-fact, in serving in  such capacity
at  the  request  of the  undersigned,  are  not assuming,  nor  is  the Company
assuming, any of the undersigned's responsibilities to comply with Section 16 of
the Securities Exchange Act of 1934 (as amended).

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
Company and the foregoing attorneys-in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 19th day of June, 2019.


                                  Signature: /s/ Roxanne M. Oulman
                                             ---------------------
                                  Print Name: Roxanne M. Oulman