0000899243-20-008441.txt : 20200316 0000899243-20-008441.hdr.sgml : 20200316 20200316161750 ACCESSION NUMBER: 0000899243-20-008441 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20191209 FILED AS OF DATE: 20200316 DATE AS OF CHANGE: 20200316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pressman Amy E CENTRAL INDEX KEY: 0001782198 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38982 FILM NUMBER: 20717353 MAIL ADDRESS: STREET 1: C/O MEDALLIA INC STREET 2: 575 MARKET STREET SUITE 1850 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hald Borge CENTRAL INDEX KEY: 0001782199 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38982 FILM NUMBER: 20717354 MAIL ADDRESS: STREET 1: C/O MEDALLIA INC STREET 2: 575 MARKET STREET SUITE 1850 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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 2019-12-09 0 0001540184 Medallia, Inc. MDLA 0001782199 Hald Borge C/O MEDALLIA, INC. 575 MARKET STREET, SUITE 1850 SAN FRANCISCO CA 94105 1 0 1 0 0001782198 Pressman Amy E C/O MEDALLIA, INC. 575 MARKET STREET, SUITE 1850 SAN FRANCISCO CA 94105 1 0 1 0 Common Stock 2019-12-09 4 G 0 160000 0.00 D 3279255 D Common Stock 2019-12-09 4 G 0 160000 0.00 D 3371282 I See footnote Common Stock 1865289 I See footnote Common Stock 465734 I See footnote Common Stock 1615289 I See footnote Common Stock 465734 I See footnote Common Stock 157973 I See footnote Common Stock 1500000 I See footnote The shares are held of record by Ms. Pressman. The reporting persons are husband and wife. The shares are held of record by the Borge Hald Irrevocable Trust U/A/D 11/4/2019 First Republic Trust Company of Delaware LLC, Trustee for which Mr. Hald serves as an investment advisor. In prior Forms 3 and 4, these shares were reported as held of record by the Borge Hald 2014 Irrevocable Descendant's Trust for which Mr. Hald serves as trustee. The shares are held of record by the Borge Hald Irrevocable Trust II U/A/D 11/4/2019 First Republic Trust Company of Delaware LLC, Trustee for which Mr. Hald serves as an investment advisor. In prior Forms 3 and 4, these shares were reported as held of record by the Borge Hald 2011 Irrevocable Remainder Trust for which Mr. Hald serves as trustee. The shares are held of record by the Amy Hald Irrevocable Trust U/A/D 11/4/2019 First Republic Trust Company of Delaware LLC, Trustee for which Ms. Pressman serves as an investment advisor. In prior Forms 3 and 4, these shares were reported as held of record by the Amy Hald 2014 Irrevocable Descendant's Trust for which Ms. Pressman serves as trustee. The shares are held of record by the Amy Hald Irrevocable Trust II U/A/D 11/4/2019 First Republic Trust Company of Delaware LLC, Trustee for which Ms. Pressman serves as an investment advisor. In prior Forms 3 and 4, these shares were reported as held of record by the Amy Hald 2011 Irrevocable Remainder Trust for which Ms. Pressman serves as trustee. The shares are held of record by the Amy Hald Irrevocable Trust III U/A/D 11/4/2019 First Republic Trust Company of Delaware LLC, Trustee for which Ms. Pressman serves as an investment advisor. In prior Forms 3 and 4, these shares were reported as held of record by the Amy Hald Irrevocable Remainder Trust for which Ms. Pressman serves as trustee. The shares are held of record by the Hald 2011 Irrevocable Children's Trust dtd 8/4/2011 First Republic Trust Company of Delaware LLC, Trustee for which Mr. Hald and Ms. Pressman serves as an investment advisor. In prior Forms 3 and 4, these shares were reported as held of record by the Hald 2011 Irrevocable Children's Trust for which Mr. Hald and Ms. Pressman serve as co-trustees. Exhibit 24.1 - Power of Attorney - Borge Hald Exhibit 24.2 - Power of Attorney - Amy E. Pressman /s/ Vanessa Pon, by power of attorney for Borge Hald 2020-03-13 /s/ Vanessa Pon, by power of attorney for Amy E. Pressman 2020-03-13 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT 
                                                                    Exhibit 24.1

                               POWER OF ATTORNEY

       The undersigned, as a Section 16 reporting person of Medallia, Inc.
(the "Company"), hereby constitutes and appoints Drew Grasham, Randy Li and
Vanessa Pon, 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 12th day of February, 2020.


                                          Signature: /s/ Borge Hald
                                                    ----------------------------
                                          Print Name: Borge Hald
EX-24.2 3 attachment2.htm EX-24.2 DOCUMENT 
                                                                    Exhibit 24.2

                               POWER OF ATTORNEY

       The undersigned, as a Section 16 reporting person of Medallia, Inc.
(the "Company"), hereby constitutes and appoints Drew Grasham, Randy Li and
Vanessa Pon, 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 12th day of February, 2020.


                                        Signature: /s/ Amy E. Pressman
                                                  ------------------------------
                                        Print Name: Amy E. Pressman