0001209191-21-028825.txt : 20210428
0001209191-21-028825.hdr.sgml : 20210428
20210428173343
ACCESSION NUMBER: 0001209191-21-028825
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210426
FILED AS OF DATE: 20210428
DATE AS OF CHANGE: 20210428
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ottosson Mikael J
CENTRAL INDEX KEY: 0001782196
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38982
FILM NUMBER: 21865778
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
2021-04-26
0
0001540184
Medallia, Inc.
MDLA
0001782196
Ottosson Mikael J
C/O MEDALLIA, INC.
575 MARKET STREET, SUITE 1850
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Technology Officer & EVP
Common Stock
2021-04-26
4
M
0
72376
4.42
A
231557
D
Common Stock
2021-04-26
4
M
0
2624
5.47
A
234181
D
Common Stock
2021-04-26
4
S
0
75000
30.0705
D
159181
D
Employee Stock Option (right to buy)
4.42
2021-04-26
4
M
0
72376
0.00
D
2025-09-09
Common Stock
72376
22624
D
Employee Stock Option (right to buy)
5.47
2021-04-26
4
M
0
2624
0.00
D
2026-09-07
Common Stock
2624
197376
D
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 9, 2020.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $30.00 to $30.23, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price.
The option is subject to an early exercise provision and is immediately exercisable. One-fourth of the shares subject to the option vested on August 24, 2016 and 1/48 vest monthly thereafter.
One-fourth of the shares subject to the option vested on August 1, 2017 and 1/48 vest monthly thereafter.
/s/ Drew Grasham, by power of attorney
2021-04-28