0001209191-22-039963.txt : 20220630 0001209191-22-039963.hdr.sgml : 20220630 20220630185729 ACCESSION NUMBER: 0001209191-22-039963 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220628 FILED AS OF DATE: 20220630 DATE AS OF CHANGE: 20220630 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mekhalfa Sabrina CENTRAL INDEX KEY: 0001887993 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41049 FILM NUMBER: 221059131 MAIL ADDRESS: STREET 1: C/O USERTESTING, INC. STREET 2: 144 TOWNSEND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UserTesting, Inc. CENTRAL INDEX KEY: 0001557127 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 260339214 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 144 TOWNSEND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: (650) 567-5616 MAIL ADDRESS: STREET 1: 144 TOWNSEND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: User Testing, Inc. DATE OF NAME CHANGE: 20120828 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-06-28 0 0001557127 UserTesting, Inc. USER 0001887993 Mekhalfa Sabrina 144 TOWNSEND STREET SAN FRANCISCO CA 94107 0 1 0 0 Chief Accounting Officer Common Stock 2022-06-28 4 M 0 705 2.65 A 3205 D Employee Stock Option (Right to Buy) 2.65 2022-06-28 4 M 0 705 0.00 D 2030-12-14 Common Stock 705 99295 D Includes 2,500 shares of Common Stock acquired under the issuer's employee stock purchase plan on May 17, 2022. The option vests as to 1/4th of the total shares on December 14, 2021 and then 1/48th of the total shares vest monthly thereafter, subject to the Reporting Holder's continued service to the Issuer on each vesting date. /s/ Ambyr O'Donnell as attorney-in-fact for Sabrina Mekhalfa 2022-06-30