0001628280-20-007831.txt : 20200514
0001628280-20-007831.hdr.sgml : 20200514
20200514172012
ACCESSION NUMBER: 0001628280-20-007831
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200514
FILED AS OF DATE: 20200514
DATE AS OF CHANGE: 20200514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Robin L
CENTRAL INDEX KEY: 0001365035
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35108
FILM NUMBER: 20879031
MAIL ADDRESS:
STREET 1: C/O PHASE III MEDICAL, INC.
STREET 2: 330 SOUTH SERVICE ROAD, SUITE 120
CITY: MELVILLE
STATE: NY
ZIP: 11747
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: 707 17TH STREET
STREET 2: SUITE 2500
CITY: DENVER
STATE: CO
ZIP: 80202
BUSINESS PHONE: 7208898500
MAIL ADDRESS:
STREET 1: 707 17TH STREET
STREET 2: SUITE 2500
CITY: DENVER
STATE: CO
ZIP: 80202
FORMER COMPANY:
FORMER CONFORMED NAME: SERVICESOURCE INTERNATIONAL LLC
DATE OF NAME CHANGE: 20041129
4
1
wf-form4_158949119540170.xml
FORM 4
X0306
4
2020-05-14
0
0001310114
SERVICESOURCE INTERNATIONAL, INC.
SREV
0001365035
Smith Robin L
C/O SERVICESOURCE INTERNATIONAL, INC.
707 17TH STREET, 25TH FLOOR
DENVER
CO
80202
1
0
0
0
Common Stock
2020-05-14
4
A
0
100000
0
A
117975
D
The reported shares are represented by restricted stock units that vest on May 14, 2021.
/s/ Patricia A. Elias, by power of attorney
2020-05-14