0001118417-24-000140.txt : 20240607 0001118417-24-000140.hdr.sgml : 20240607 20240607194233 ACCESSION NUMBER: 0001118417-24-000140 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240606 FILED AS OF DATE: 20240607 DATE AS OF CHANGE: 20240607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fisher Melissa B CENTRAL INDEX KEY: 0001570337 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 241031180 MAIL ADDRESS: STREET 1: 188 E. 64TH STREET STREET 2: APT. 604 CITY: NEW YORK STATE: NY ZIP: 10065 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MODEL N, INC. CENTRAL INDEX KEY: 0001118417 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] ORGANIZATION NAME: 06 Technology 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 wk-form4_1717803745.xml FORM 4 X0508 4 2024-06-06 0 0001118417 MODEL N, INC. MODN 0001570337 Fisher Melissa B C/O MODEL N, INC. 777 MARINERS ISLAND BOULEVARD, SUITE 300 SAN MATEO CA 94404 1 0 0 0 0 Common Stock 2024-06-06 4 G 0 2688 0 D 2306 D Common Stock 2024-06-06 4 G 0 2688 0 A 56563 I Melissa B Fisher Revocable Trust All of the shares reported as disposed of in this transaction were transferred to the Melissa B Fisher Revocable Trust, of which the Reporting Person is a trustee and beneficiary. All of the shares reported as acquired in this transaction were transferred from the Reporting Person. /s/ Melissa Fisher by Errol Hunter, Attorney-in-Fact 2024-06-07