Filing Details

Accession Number:
0000899243-19-020165
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-07-23 20:37:56
Reporting Period:
2019-07-23
Accepted Time:
2019-07-23 20:37:56
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1540184 Medallia Inc. MDLA Services-Computer Programming, Data Processing, Etc. (7370) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1782198 E Amy Pressman C/O Medallia, Inc.
575 Market Street, Suite 1850
San Francisco CA 94105
Yes No Yes No
1782199 Borge Hald C/O Medallia, Inc.
575 Market Street, Suite 1850
San Francisco CA 94105
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2019-07-23 4,121,755 $0.00 4,321,755 No 4 C Direct
Class A Common Stock Disposition 2019-07-23 4,321,755 $0.00 0 No 4 J Direct
Common Stock Acquisiton 2019-07-23 4,321,755 $0.00 4,321,755 No 4 J Direct
Common Stock Disposition 2019-07-23 882,500 $19.53 3,439,255 No 4 S Direct
Class A Common Stock Acquisiton 2019-07-23 4,186,599 $0.00 4,413,782 No 4 C Indirect See footnote
Class A Common Stock Disposition 2019-07-23 4,413,782 $0.00 0 No 4 J Indirect See footnote
Common Stock Acquisiton 2019-07-23 4,413,782 $0.00 4,413,782 No 4 J Indirect See footnote
Common Stock Disposition 2019-07-23 882,500 $19.53 3,531,282 No 4 S Indirect See footnote
Class A Common Stock Acquisiton 2019-07-23 22,254 $0.00 465,734 No 4 C Indirect See footnote
Class A Common Stock Disposition 2019-07-23 465,734 $0.00 0 No 4 J Indirect See footnote
Common Stock Acquisiton 2019-07-23 465,734 $0.00 465,734 No 4 J Indirect See footnote
Class A Common Stock Acquisiton 2019-07-23 1,421,809 $0.00 1,865,289 No 4 C Indirect See footnote
Class A Common Stock Disposition 2019-07-23 1,865,289 $0.00 0 No 4 J Indirect See footnote
Common Stock Acquisiton 2019-07-23 1,865,289 $0.00 1,865,289 No 4 J Indirect See footnote
Class A Common Stock Acquisiton 2019-07-23 22,254 $0.00 465,734 No 4 C Indirect See footnote
Class A Common Stock Disposition 2019-07-23 465,734 $0.00 0 No 4 J Indirect See footnote
Common Stock Acquisiton 2019-07-23 465,734 $0.00 465,734 No 4 J Indirect See footnote
Class A Common Stock Acquisiton 2019-07-23 1,171,809 $0.00 1,615,289 No 4 C Indirect See footnote
Class A Common Stock Disposition 2019-07-23 1,615,289 $0.00 0 No 4 J Indirect See footnote
Common Stock Acquisiton 2019-07-23 1,615,289 $0.00 1,615,289 No 4 J Indirect See footnote
Class A Common Stock Disposition 2019-07-23 157,973 $0.00 0 No 4 J Indirect See footnote
Common Stock Acquisiton 2019-07-23 157,973 $0.00 157,973 No 4 J Indirect See footnote
Class A Common Stock Acquisiton 2019-07-23 1,056,520 $0.00 1,500,000 No 4 J Indirect See footnote
Class A Common Stock Disposition 2019-07-23 1,500,000 $0.00 0 No 4 J Indirect See footnote
Common Stock Acquisiton 2019-07-23 1,500,000 $0.00 1,500,000 No 4 J Indirect See footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 J Direct
No 4 J Direct
No 4 S Direct
No 4 C Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 S Indirect See footnote
No 4 C Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 C Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 C Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 C Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
No 4 J Indirect See footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Class B Common Stock Disposition 2019-07-23 1,500 $0.00 1,500 $0.00
Class A Common Stock Class B Common Stock Disposition 2019-07-23 1,500 $0.00 1,500 $0.00
Class A Common Stock Series A Convertible Preferred Stock Disposition 2019-07-23 4,120,255 $0.00 4,120,255 $0.00
Class A Common Stock Series A Convertible Preferred Stock Disposition 2019-07-23 4,185,099 $0.00 4,185,099 $0.00
Class A Common Stock Series A Convertible Preferred Stock Disposition 2019-07-23 22,254 $0.00 22,254 $0.00
Class A Common Stock Series A Convertible Preferred Stock Disposition 2019-07-23 1,421,809 $0.00 1,421,809 $0.00
Class A Common Stock Series A Convertible Preferred Stock Disposition 2019-07-23 22,254 $0.00 22,254 $0.00
Class A Common Stock Series A Convertible Preferred Stock Disposition 2019-07-23 1,171,809 $0.00 1,171,809 $0.00
Class A Common Stock Series A Convertible Preferred Stock Disposition 2019-07-23 1,056,520 $0.00 1,056,520 $0.00
Class A Common Stock Stock Option (right to buy) Disposition 2019-07-23 600,000 $0.00 600,000 $2.36
Common Stock Stock Option (right to buy) Disposition 2019-07-23 600,000 $0.00 600,000 $2.36
Class A Common Stock Stock Option (right to buy) Disposition 2019-07-23 1,300,000 $0.00 1,300,000 $5.69
Common Stock Stock Option (right to buy) Disposition 2019-07-23 1,300,000 $0.00 1,300,000 $5.69
Class A Common Stock Stock Option (right to buy) Disposition 2019-07-23 600,000 $0.00 600,000 $2.36
Common Stock Stock Option (right to buy) Disposition 2019-07-23 600,000 $0.00 600,000 $2.36
Class A Common Stock Stock Option (right to buy) Disposition 2019-07-23 600,000 $0.00 600,000 $5.69
Common Stock Stock Option (right to buy) Disposition 2019-07-23 600,000 $0.00 600,000 $5.69
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Indirect
0 No 4 C Direct
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 2025-06-03 No 4 J Direct
600,000 2025-06-03 No 4 J Direct
0 2027-03-17 No 4 J Direct
1,300,000 2027-03-17 No 4 J Direct
0 2025-06-03 No 4 J Indirect
600,000 2025-06-03 No 4 J Indirect
0 2027-03-17 No 4 J Indirect
600,000 2027-03-17 No 4 J Indirect
Footnotes
  1. Each share of Class B Common Stock automatically converted 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 had no expiration date.
  2. Each share of Series A Convertible Preferred Stock automatically converted 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 had no expiration date.
  3. Each share of Class A Common Stock was reclassified in an exempt transaction pursuant to Rule 16b-7 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.
  4. The shares are held of record by Ms. Pressman. The reporting persons are husband and wife.
  5. The shares are held of record by the Borge Hald 2011 Irrevocable Remainder Trust for which Mr. Hald serves as trustee.
  6. The shares are held of record by the Borge Hald 2014 Irrevocable Descendant's Trust for which Mr. Hald serves as trustee.
  7. The shares are held of record by the Amy Hald 2011 Irrevocable Remainder Trust for which Ms. Pressman serves as trustee.
  8. The shares are held of record by the Amy Hald 2014 Irrevocable Descendant's Trust for which Ms. Pressman serves as trustee.
  9. The shares are held of record by the Amy Hald Irrevocable Remainder Trust for which Ms. Pressman serves as trustee.
  10. 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.
  11. The shares subject to the option are fully vested and immediately exercisable.
  12. 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 accelerated in full.