0001540184-19-000004.txt : 20190306 0001540184-19-000004.hdr.sgml : 20190306 20190306132239 ACCESSION NUMBER: 0001540184-19-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190306 DATE AS OF CHANGE: 20190306 EFFECTIVENESS DATE: 20190306 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: 021-334172 FILM NUMBER: 19661955 BUSINESS ADDRESS: STREET 1: 450 CONCAR DRIVE CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: (650) 321-3000 MAIL ADDRESS: STREET 1: 450 CONCAR DRIVE CITY: SAN MATEO STATE: CA ZIP: 94402 FORMER COMPANY: FORMER CONFORMED NAME: Medallia Inc. DATE OF NAME CHANGE: 20120123 D 1 primary_doc.xml X0708 D LIVE 0001540184 Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 (650) 321-3000 DELAWARE Berrypick, Inc. Medallia Inc. Corporation true Leslie Stretch c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Executive Officer Director Roxanne Oulman c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Executive Officer Borge Hald c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Director Amy Pressman c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Director Alan Grebene c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Executive Officer Frank Slootman c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Director Steve Walske c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Director Stan Meresman c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Director Leslie Kilgore c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Director Doug Leone c/o Medallia, Inc. 450 Concar Drive San Mateo CA CALIFORNIA 94402 Director Other Technology Decline to Disclose 06b false 2019-02-25 false true false 0 70000000 70000000 0 false 5 0 0 0 false Medallia, Inc. /s/ Roxanne Oulman Roxanne Oulman Chief Financial Officer 2019-03-06