0001209191-21-037705.txt : 20210603
0001209191-21-037705.hdr.sgml : 20210603
20210603164526
ACCESSION NUMBER: 0001209191-21-037705
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210601
FILED AS OF DATE: 20210603
DATE AS OF CHANGE: 20210603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Raskin Scott David
CENTRAL INDEX KEY: 0001697668
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36331
FILM NUMBER: 21993142
MAIL ADDRESS:
STREET 1: QUOTIENT TECHNOLOGY INC.
STREET 2: 400 LOGUE AVE.
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Quotient Technology Inc.
CENTRAL INDEX KEY: 0001115128
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310]
IRS NUMBER: 770485123
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 LOGUE AVENUE
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
BUSINESS PHONE: 650-605-4600
MAIL ADDRESS:
STREET 1: 400 LOGUE AVENUE
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
FORMER COMPANY:
FORMER CONFORMED NAME: COUPONS.com Inc
DATE OF NAME CHANGE: 20131023
FORMER COMPANY:
FORMER CONFORMED NAME: COUPONS INC
DATE OF NAME CHANGE: 20050802
FORMER COMPANY:
FORMER CONFORMED NAME: COUPONS COM INC
DATE OF NAME CHANGE: 20000522
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-01
0
0001115128
Quotient Technology Inc.
QUOT
0001697668
Raskin Scott David
C/O QUOTIENT TECHNOLOGY INC.
400 LOGUE AVENUE
MOUNTAIN VIEW
CA
94043
0
1
0
0
President
Common Stock
2021-06-01
4
F
0
14226
11.46
D
727576
D
Common Stock
2021-06-01
4
F
0
5340
11.46
D
722236
D
Common Stock
2021-06-01
4
F
0
2757
11.46
D
719479
D
Represents the number of shares withheld by and surrendered to the Issuer on June 1, 2021, to satisfy tax withholding obligations that arose in connection with a vesting event from a Restricted Stock Units award (the "RSU award") granted on September 1, 2019. The RSU award for 544,959 shares in total vests over a four-year period as follows: 25% of the shares vest on September 1, 2020 and the remainder vest in 6.25% quarterly installments thereafter.
Includes 1,250 shares acquired by the reporting person under the Issuer's Amended and Restated 2013 Employee Stock Purchase Plan on May 15, 2021.
Represents the number of shares withheld by and surrendered to the Issuer on June 1, 2021, to satisfy tax withholding obligations that arose in connection with a vesting event from the RSU award granted on March 1, 2020. The RSU award for 181,564 shares in total vests in 6.25% quarterly installments over a four-year period from March 1, 2020.
Represents the number of shares withheld by and surrendered to the Issuer on June 1, 2021, to satisfy tax withholding obligations that arose in connection with a vesting event from the RSU award granted on March 1, 2021. The RSU award for 99,573 shares in total vests in 6.25% quarterly installments over a four-year period from March 1, 2021.
/s/ Connie Chen, Attorney-in-Fact for Scott David Raskin
2021-06-03
EX-24.4_990055
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING PURPOSES
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints each of Connie Chen and John Platz, acting individually, as the
undersigned's true and lawful attorney-in-fact, with full power and authority as
hereinafter described on behalf of and in the name, place and stead of the
undersigned to:
1. execute for, and on behalf of, the undersigned, in the undersigned's
capacity as an officer and/or director of Quotient Technology Inc. (f/k/a
Coupons.com Incorporated) (the "Company"), Forms 3, 4 and 5 in accordance with
Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules
and regulations promulgated thereunder (the "Exchange Act"), and a Form ID,
Uniform Application for Access Codes to File on EDGAR;
2. seek or obtain, as the undersigned's representative and on the
undersigned's behalf, information on transactions in the Company's securities
from any third party, including brokers, employee benefit plan administrators
and trustees, and the undersigned hereby authorizes any such person to release
any such information to any attorney-in-fact and further approves and ratifies
any such release of information;
3. do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to prepare, complete and execute any such Form 3,
4 or 5 or Form ID, and any amendments thereto, or other required report and
timely file such Forms or reports with the United States Securities and Exchange
Commission and any stock exchange or similar authority as considered necessary
or advisable under Section 16(a) of the Exchange Act; and
4. take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's sole discretion.
The undersigned hereby acknowledges that (a) the foregoing attorneys-in-fact
are serving in such capacity at the request of the undersigned; (b) this Limited
Power of Attorney authorizes, but does not require, each such attorney-in-fact
to act in his or her discretion on information provided to such attorney-in-fact
without independent verification of such information; (c) any documents prepared
and/or executed by any attorney-in-fact on behalf of the undersigned pursuant to
this Limited Power of Attorney shall be in such form and shall contain such
information and disclosure as such attorney-in-fact, in his or her sole
discretion, deems necessary or advisable; (d) neither the Company nor any
attorney-in-fact assumes (i) any liability for the undersigned's responsibility
to comply with the requirements of the Exchange Act, (ii) any liability of the
undersigned for any failure to comply with such requirements, or (iii) any
obligation or liability of the undersigned for profit disgorgement under Section
16(b) of the Exchange Act; and (e) this Limited Power of Attorney does not
relieve the undersigned from responsibility for compliance with the
undersigned's obligations under the Exchange Act, including, without limitation,
the reporting requirements under Section 16 of the Exchange Act.
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 as to any attorney-in-fact by the undersigned in a signed
writing delivered to such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has executed this Limited Power of Attorney
as of this 21st day of May, 2021.
Signature: /s/ Scott Raskin
Print Name: Scott Raskin