0000899243-17-026253.txt : 20171114 0000899243-17-026253.hdr.sgml : 20171114 20171114194923 ACCESSION NUMBER: 0000899243-17-026253 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171110 FILED AS OF DATE: 20171114 DATE AS OF CHANGE: 20171114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Henricks Alan S. CENTRAL INDEX KEY: 0001513957 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 171203560 MAIL ADDRESS: STREET 1: MODEL N, INC. STREET 2: 777 MARINERS ISLAND BLVD., SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MODEL N, INC. CENTRAL INDEX KEY: 0001118417 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 770528806 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 BUSINESS PHONE: (650) 610-4600 MAIL ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 FORMER COMPANY: FORMER CONFORMED NAME: MODEL T1 INC DATE OF NAME CHANGE: 20001031 FORMER COMPANY: FORMER CONFORMED NAME: MODEL N INC DATE OF NAME CHANGE: 20000707 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-10 0 0001118417 MODEL N, INC. MODN 0001513957 Henricks Alan S. MODEL N, INC. 777 MARINERS ISLAND BOULEVARD, SUITE 300 SAN MATEO CA 94404 1 0 0 0 Common Stock 2017-11-10 4 S 0 4730 14.59 D 40134 D Common Stock 2017-11-13 4 S 0 4775 14.48 D 35359 D Common Stock 2017-11-14 4 S 0 3970 14.43 D 31389 D /s/ Alan Henricks by Errol Hunter, Attorney-In-Fact 2017-11-14