0001209191-21-033736.txt : 20210518
0001209191-21-033736.hdr.sgml : 20210518
20210518192007
ACCESSION NUMBER: 0001209191-21-033736
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210515
FILED AS OF DATE: 20210518
DATE AS OF CHANGE: 20210518
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BERNSHTEYN ROBERT
CENTRAL INDEX KEY: 0001436655
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38982
FILM NUMBER: 21937844
MAIL ADDRESS:
STREET 1: C/O SUCCESSFACTORS, INC., 1500 FASHION
STREET 2: ISLAND BLVD., SUITE 300
CITY: SAN MATEO
STATE: CA
ZIP: 94404
FORMER NAME:
FORMER CONFORMED NAME: BERNSHTYEN ROBERT
DATE OF NAME CHANGE: 20080603
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
2021-05-15
0
0001540184
Medallia, Inc.
MDLA
0001436655
BERNSHTEYN ROBERT
C/O MEDALLIA, INC.
575 MARKET STREET, SUITE 1850
SAN FRANCISCO
CA
94105
1
0
0
0
Common Stock
2021-05-15
4
A
0
882
0.00
A
24820
D
The reported shares are represented by restricted stock units, or RSUs, all of which were vested on the award date.
/s/ Drew Grasham, by power of attorney
2021-05-18