0001123292-18-001110.txt : 20181211
0001123292-18-001110.hdr.sgml : 20181211
20181211161523
ACCESSION NUMBER: 0001123292-18-001110
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: MOORE GARY B
CENTRAL INDEX KEY: 0001493191
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35108
FILM NUMBER: 181228937
MAIL ADDRESS:
STREET 1: 170 WEST TASMAN DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95134
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
0001493191
MOORE GARY B
C/O SERVICESOURCE INTERNATIONAL, INC.
717 17TH STREET, 5TH FLOOR
DENVER
CO
80202
1
1
0
0
CEO
Common Stock
2018-12-07
4
A
0
500000
0
A
706198
D
Employee Stock Option (right to buy)
1.20
2018-12-07
4
A
0
1000000
0
A
2028-12-07
Common Stock
1000000
1000000
D
The reported shares are represented by restricted stock units that vest in equal installments on December 7, 2019 and December 7, 2020.
One-half of the shares subject to the option vest on December 7, 2019 and one twenty-fourth of the shares vest monthly thereafter.
/s/ Patricia A. Elias, by power of attorney
2018-12-11