0001540184-15-000001.txt : 20150630
0001540184-15-000001.hdr.sgml : 20150630
20150629184116
ACCESSION NUMBER: 0001540184-15-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150630
DATE AS OF CHANGE: 20150629
EFFECTIVENESS DATE: 20150630
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medallia Inc.
CENTRAL INDEX KEY: 0001540184
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-242733
FILM NUMBER: 15959585
BUSINESS ADDRESS:
STREET 1: 395 PAGE MILL ROAD, STE. 100
CITY: PALO ALTO
STATE: CA
ZIP: 94306
BUSINESS PHONE: (650) 321-3000
MAIL ADDRESS:
STREET 1: 395 PAGE MILL ROAD, STE. 100
CITY: PALO ALTO
STATE: CA
ZIP: 94306
D
1
primary_doc.xml
X0707
D
LIVE
0001540184
Medallia Inc.
395 PAGE MILL ROAD, # 100
PALO ALTO
CA
CALIFORNIA
94306
(650) 321-3000
DELAWARE
Berrypick, Inc.
None
Corporation
true
Borge
Hald
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Executive Officer
Director
Amy
Pressman
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Executive Officer
Director
Alan
Grebene
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Executive Officer
Mike
Kourey
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Executive Officer
Doug
Leone
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Director
Frank
Slootman
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Director
Steve
Walske
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Director
Stan
Meresman
c/o Medallia, Inc.
395 Page Mill Road, #100
Palo Alto
CA
CALIFORNIA
94306
Director
Other Technology
Decline to Disclose
- 06b
false
2011-11-22
false
true
true
Series B Preferred Stock and underlying shares of Common Stock.
false
0
35000000
35000000
0
false
1
0
0
0
false
Medallia Inc.
/s/ Alan Grebene
Alan Grebene
VP and General Counsel
2015-06-29