0001123292-18-001109.txt : 20181211 0001123292-18-001109.hdr.sgml : 20181211 20181211161412 ACCESSION NUMBER: 0001123292-18-001109 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181207 FILED AS OF DATE: 20181211 DATE AS OF CHANGE: 20181211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dunnam Deborah A. CENTRAL INDEX KEY: 0001758809 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35108 FILM NUMBER: 181228930 MAIL ADDRESS: STREET 1: C/O SERVICESOURCE INTERNATIONAL, INC. STREET 2: 717 17TH STREET, 5TH FLOOR CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SERVICESOURCE INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001310114 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 810578975 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 717 17TH STREET STREET 2: 5TH FLOOR CITY: DENVER STATE: CO ZIP: 80222 BUSINESS PHONE: 7208898500 MAIL ADDRESS: STREET 1: 717 17TH STREET STREET 2: 5TH FLOOR CITY: DENVER STATE: CO ZIP: 80222 FORMER COMPANY: FORMER CONFORMED NAME: SERVICESOURCE INTERNATIONAL LLC DATE OF NAME CHANGE: 20041129 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2018-12-07 0001310114 SERVICESOURCE INTERNATIONAL, INC. SREV 0001758809 Dunnam Deborah A. C/O SERVICESOURCE INTERNATIONAL, INC. 717 17TH STREET, 5TH FLOOR DENVER CO 80202 0 1 0 0 EVP, COO Common Stock 2018-12-07 4 A 0 25000 0 A 300000 D Employee Stock Option (right to buy) 1.20 2018-12-07 4 A 0 500000 0 A 2028-12-07 Common Stock 500000 500000 D The reported shares are represented by restricted stock units that vest in four equal annual installments beginning on December 7, 2019. One-quarter of the shares subject to the option vest on December 7, 2019 and one forty-eighth of the shares vest monthly thereafter. /s/ Patricia A. Elias, by power of attorney 2018-12-11