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