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