0001209191-21-019211.txt : 20210309 0001209191-21-019211.hdr.sgml : 20210309 20210309180456 ACCESSION NUMBER: 0001209191-21-019211 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210308 FILED AS OF DATE: 20210309 DATE AS OF CHANGE: 20210309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carducci Elizabeth CENTRAL INDEX KEY: 0001837396 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38982 FILM NUMBER: 21727250 MAIL ADDRESS: STREET 1: 575 MARKET STREET STREET 2: 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 2021-03-08 0 0001540184 Medallia, Inc. MDLA 0001837396 Carducci Elizabeth 575 MARKET STREET SUITE 1850 SAN FRANCISCO CA 94105 0 1 0 0 Chief Revenue Officer Common Stock 2021-03-08 4 M 0 125001 0.16 A 819087 D Common Stock 500000 I See footnote Employee stock option (right to buy) 0.16 2021-03-08 4 M 0 125001 0.00 D 2021-03-30 Common Stock 125001 0 D The shares are held of record by The Elizabeth Carducci 2020 Irrevocable Trust dtd 12/11/2020 for which the reporting person serves as an investment advisor. Shares subject to the option are fully vested and immediately exercisable. /s/ Drew Grasham, by power of attorney 2021-03-09