0001209191-20-033092.txt : 20200529
0001209191-20-033092.hdr.sgml : 20200529
20200529211321
ACCESSION NUMBER: 0001209191-20-033092
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200529
FILED AS OF DATE: 20200529
DATE AS OF CHANGE: 20200529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KILGORE LESLIE J
CENTRAL INDEX KEY: 0001218352
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38982
FILM NUMBER: 20930610
MAIL ADDRESS:
STREET 1: 100 WINCHESTER CIRCLE
CITY: LOS GATOS
STATE: CA
ZIP: 95032
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
2020-05-29
0
0001540184
Medallia, Inc.
MDLA
0001218352
KILGORE LESLIE J
C/O MEDALLIA, INC.
575 MARKET STREET, SUITE 1850
SAN FRANCISCO
CA
94105
1
0
0
0
Common Stock
2020-05-29
4
A
0
6541
0.00
A
246191
D
Common Stock
29828
I
See footnote
The reported shares are represented by restricted stock units, or RSUs, which vest on the earlier of (i) May 29, 2021 or (ii) the day prior to the date of the Issuer's next annual meeting of stockholders.
The shares are held of record by the JLK Revocable Trust dated October 13, 2003 for which the reporting person serves as a trustee.
/s/ Roxanne Oulman, by power of attorney
2020-05-29