0001118417-21-000141.txt : 20210826
0001118417-21-000141.hdr.sgml : 20210826
20210826192905
ACCESSION NUMBER: 0001118417-21-000141
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210824
FILED AS OF DATE: 20210826
DATE AS OF CHANGE: 20210826
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: 211213771
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
wf-form4_163002053240836.xml
FORM 4
X0306
4
2021-08-24
0
0001118417
MODEL N, INC.
MODN
0001513957
Henricks Alan S.
C/O MODEL N, INC.
777 MARINERS ISLAND BOULEVARD, SUITE 300
SAN MATEO
CA
94404
1
0
0
0
Common Stock
2021-08-24
4
S
0
3337
33.10
D
47002
D
Common Stock
2021-08-26
4
S
0
1000
33.50
D
46002
D
Common Stock
2021-08-26
4
S
0
1000
34
D
45002
D
Alan Henricks by Errol Hunter, Attorney-in-Fact
2021-08-26