Roxanne Oulman - 29 Oct 2021 Form 4 Insider Report for Medallia, Inc.

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
02 Nov 2021, 19:18:23 UTC
Prior SEC filing
18 Oct 2021
Next SEC filing
28 Jul 2022
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Roxanne Oulman

Key filing fact

Roxanne Oulman filed Form 4 for Medallia, Inc. on 02 Nov 2021.

Key facts

  • This page summarizes Roxanne Oulman's Form 4 filing for Medallia, Inc..
  • 4 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 02 Nov 2021, 19:18.

Change

  • Previous filing in this sequence was filed on 18 Oct 2021.
  • Current net transaction value: -$28,064,484.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

MDLA transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-160,303
Change %
-39%
Price
Shares after
251,111
Date
29 Oct 2021
Ownership
Direct
Footnotes
F1, F2
MDLA transaction

Common Stock

Award

Transaction value
$0
Shares
+244,588
Change %
+97%
Price
$0.000000
Shares after
495,699
Date
29 Oct 2021
Ownership
Direct
Footnotes
F3
MDLA transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-495,699
Change %
-100%
Price
Shares after
0
Date
29 Oct 2021
Ownership
Direct
Footnotes
F4

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

MDLA transaction Derivative

Employee Stock Option (right to buy)

Disposed to Issuer

Transaction value
$28,064,484
Shares
-825,426
Change %
-100%
Price
$34.00
Shares after
0
Date
29 Oct 2021
Ownership
Direct
Underlying class
Common Stock
Underlying amount
825,426
Exercise price
$6.73
Footnotes
F5
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Roxanne Oulman is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 5 footnotes

Footnote F1

Pursuant to the Agreement and Plan of Merger between the Issuer, Project Metal Parent, LLC and Project Metal Merger Sub, Inc. dated July 25, 2021, each share of issued and outstanding Issuer common stock was cancelled and converted into the right to receive $34.00 in cash.

Footnote F2

The shares are represented by restricted stock units, or RSUs.

Footnote F3

Immediately prior to the effective time of the merger, certain RSUs subject to the achievement of performance-based criteria were deemed achieved and vest as follows: (i) 137,500 RSUs vest on April 15, 2022; (ii) 71,428 RSUs vest on March 15, 2023 and (iii) 35,660 RSUs vest on April 15, 2024.

Footnote F4

At the effective time of the merger, the RSUs were cancelled and converted into a right to receive $34.00 in cash for each outstanding unit which will vest and be payable at the same time as the unvested RSUs for which such cash amount was exchanged would have vested pursuant to its terms.

Footnote F5

The option provided for vesting of one-fourth of the total shares subject to the option on November 5, 2019 and 1/48th of the total shares vesting monthly thereafter. At the effective time of the merger, the 554,585 vested options were cancelled in exchange for a cash payment representing the difference between $34.00 and the exercise price of the option per share. The remaining 270,841 unvested options were cancelled and converted into the right to receive a cash payment which represents the difference between $34.00 and the exercise price of the option per share for each outstanding unvested option which will vest and be payable at the same time as the unvested options for which such cash amount was exchanged would have vested pursuant to its terms.

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