0001118417-22-000125.txt : 20221116
0001118417-22-000125.hdr.sgml : 20221116
20221116212306
ACCESSION NUMBER: 0001118417-22-000125
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221114
FILED AS OF DATE: 20221116
DATE AS OF CHANGE: 20221116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Selig Laura
CENTRAL INDEX KEY: 0001758567
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35840
FILM NUMBER: 221396692
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_166865176129055.xml
FORM 4
X0306
4
2022-11-14
0
0001118417
MODEL N, INC.
MODN
0001758567
Selig Laura
C/O MODEL N, INC.
777 MARINERS ISLAND BOULEVARD, SUITE 300
SAN MATEO
CA
94404
0
1
0
0
Chief People Officer
Common Stock
2022-11-14
4
A
0
1647
0
A
77397
D
Common Stock
2022-11-14
4
A
0
20509
0
A
97906
D
Common Stock
2022-11-14
4
A
0
13673
0
A
111579
D
Common Stock
2022-11-16
4
S
0
557
37.99
D
111022
D
Common Stock
2022-11-16
4
S
0
220
37.99
D
110802
D
Common Stock
2022-11-16
4
S
0
82
37.99
D
110720
D
Common Stock
2022-11-16
4
S
0
224
37.99
D
110496
D
Common Stock
2022-11-16
4
S
0
365
37.99
D
110131
D
Issuable upon the vesting of Restricted Stock Units ("RSUs"). 100% of the RSUs shall vest on the vesting commencement date, November 30, 2022. Shares of the Issuer's common stock shall be delivered to the Reporting Person upon vesting.
Issuable upon the vesting of Restricted Stock Units ("RSUs"). 16.67% of the RSUs will vest on the six-month anniversary of the vesting commencement date and 8.33% vesting thereafter on each quarterly anniversary of the vesting commencement date until such time as the RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting.
Issuable upon vesting and satisfaction of certain performance criteria of Performance-Based Restricted Stock Units ("PB-RSUs"). Subject to the achievement of certain minimum performance criteria based upon annual recurring revenue, between a minimum of 0% and a maximum of 200%, the PB-RSUs will vest as to 33% on the first annual anniversary of the vesting commencement date and 8.375% vesting thereafter on each quarterly anniversary of the vesting commencement date until such time as the PB-RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting if the performance criteria have been met.
All shares reported as disposed of in this transaction were sold by the Reporting Person in order to pay the federal and state tax withholding obligations resulting from the vesting of the Reporting Person's Restricted Stock Units ("RSUs") and/or performance-based RSUs. The Reporting Person did not sell or otherwise dispose of any of the shares reported in this transaction for any reason other than to cover required taxes.
Reflects a decrease of 125 shares of unvested Performance-Based RSUs ("PB-RSUs") that were cancelled due to the achievement of 64.9% of certain performance criteria related to PB-RSUs granted to the Reporting Person on November 22, 2019.
Laura Selig by Errol Hunter, Attorney-in-Fact
2022-11-17