0001118417-21-000050.txt : 20210219
0001118417-21-000050.hdr.sgml : 20210219
20210219200438
ACCESSION NUMBER: 0001118417-21-000050
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210219
FILED AS OF DATE: 20210219
DATE AS OF CHANGE: 20210219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Reese Scott
CENTRAL INDEX KEY: 0001775056
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35840
FILM NUMBER: 21657928
MAIL ADDRESS:
STREET 1: C/O 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
wf-form4_161378306437981.xml
FORM 4
X0306
4
2021-02-19
0
0001118417
MODEL N, INC.
MODN
0001775056
Reese Scott
C/O MODEL N, INC.
777 MARINERS ISLAND BLVD, SUITE 300
SAN MATEO
CA
94404
1
0
0
0
Common Stock
2021-02-19
4
A
0
3926
0
A
15995
D
Issuable upon the vesting of Restricted Stock Units ("RSUs"). 25% of the shares subject to this RSU grant will vest on May 15, 2021, August 15, 2021, November 15, 2021, and February 15, 2022 provided the Reporting Person continues to serve on the Board of Directors through the applicable vesting date.
Scott Reese by Errol Hunter, Attorney-in-Fact
2021-02-19