0001209191-21-041165.txt : 20210616
0001209191-21-041165.hdr.sgml : 20210616
20210616201613
ACCESSION NUMBER: 0001209191-21-041165
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210615
FILED AS OF DATE: 20210616
DATE AS OF CHANGE: 20210616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ottosson Mikael J
CENTRAL INDEX KEY: 0001782196
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38982
FILM NUMBER: 211023035
MAIL ADDRESS:
STREET 1: C/O MEDALLIA INC
STREET 2: 575 MARKET STREET SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
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
2021-06-15
0
0001540184
Medallia, Inc.
MDLA
0001782196
Ottosson Mikael J
C/O MEDALLIA, INC.
575 MARKET STREET, SUITE 1850
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Technology Officer & EVP
Common Stock
2021-06-15
4
A
0
2812
0.00
A
161993
D
Common Stock
2021-06-15
4
S
0
2404
31.2983
D
159589
D
The reported shares are represented by restricted stock units, or RSUs, all of which vest on July 15, 2021.
The reported shares were sold to satisfy the reporting person's tax obligations in connection with the vesting of RSUs.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $30.97 to $31.44, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price.
/s/ Drew Grasham, by power of attorney
2021-06-16