X0206 3 2019-07-18 0 0001540184 Medallia, Inc. MDLA 0001782199 Hald Borge C/O MEDALLIA, INC. 575 MARKET STREET, SUITE 1850 SAN FRANCISCO CA 94105 1 0 1 0 0001782198 Pressman Amy E C/O MEDALLIA, INC. 575 MARKET STREET, SUITE 1850 SAN FRANCISCO CA 94105 1 0 1 0 Class A Common Stock 200000 D Class A Common Stock 227183 I See footnote Class A Common Stock 443480 I See footnote Class A Common Stock 443480 I See footnote Class A Common Stock 443480 I See footnote Class A Common Stock 443480 I See footnote Class A Common Stock 157973 I See footnote Class A Common Stock 443480 I See footnote Class B Common Stock Class A Common Stock 1500 D Class B Common Stock Class A Common Stock 1500 I See footnote Series A Convertible Preferred Stock Class A Common Stock 4120255 D Series A Convertible Preferred Stock Class A Common Stock 4185099 I See footnote Series A Convertible Preferred Stock Class A Common Stock 22254 I See footnote Series A Convertible Preferred Stock Class A Common Stock 1421809 I See footnote Series A Convertible Preferred Stock Class A Common Stock 22254 I See footnote Series A Convertible Preferred Stock Class A Common Stock 1171809 I See footnote Series A Convertible Preferred Stock Class A Common Stock 1056520 I See footnote Stock Option (right to buy) 2.36 2025-06-03 Class A Common Stock 600000 D Stock Option (right to buy) 5.69 2027-03-17 Class A Common Stock 1300000 D Stock Option (right to buy) 2.36 2025-06-03 Class A Common Stock 600000 I See footnote Stock Option (right to buy) 5.69 2027-03-17 Class A Common Stock 650000 I See footnote Each share of Class A Common Stock shall be reclassified into one share of Common Stock immediately prior to the completion of the Issuer's initial public offering of Common Stock and following the conversion of each series of the Issuer's Convertible Preferred Stock and the Issuer's Series B Common Stock into Series A Common Stock. The reported shares are represented by restricted stock units, or RSUs, pursuant to which 1/3 of the RSUs vest on July 17, 2020 and 1/12th of the RSUs vest quarterly thereafter. Includes 200,000 shares represented by restricted stock units, or RSUs, pursuant to which 1/3 of the RSUs vest on July 17, 2020 and 1/12th of the RSUs vest quarterly thereafter. The shares are held of record by Ms. Pressman. The reporting persons are husband and wife. The shares are held of record by the Borge Hald 2011 Irrevocable Remainder Trust for which Mr. Hald serves as trustee. The shares are held of record by the Borge Hald 2014 Irrevocable Descendant's Trust for which Mr. Hald serves as trustee. The shares are held of record by the Amy Hald 2011 Irrevocable Remainder Trust for which Ms. Pressman serves as trustee. The shares are held of record by the Amy Hald 2014 Irrevocable Descendant's Trust for which Ms. Pressman serves as trustee. The shares are held of record by the Amy Hald Irrevocable Remainder Trust for which Ms. Pressman serves as trustee. The shares are held of record by The Hald 2011 Irrevocable Children's Trust for which Mr. Hald and Ms. Pressman serve as co-trustees. Each share of Class B Common Stock shall automatically convert into Class A Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and has no expiration date. Each share of Series A Convertible Preferred Stock shall automatically convert into Class A Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and has no expiration date. The shares subject to the option are fully vested and immediately exercisable. The shares subject to the option vest in 48 equal monthly installments beginning on May 1, 2017. Upon completion of the Issuer's initial public offering of Common Stock, the vesting of the option shall be fully accelerated. Exhibit 24.1 - Power of Attorney - Borge Hald Exhibit 24.2 - Power of Attorney - Amy E. Pressman /s/ Alan K. Grebene, by power of attorney for Borge Hald 2019-07-18 /s/ Alan K. Grebene, by power of attorney for Amy E. Pressman 2019-07-18