0001667731-17-000070.txt : 20170217 0001667731-17-000070.hdr.sgml : 20170217 20170217184244 ACCESSION NUMBER: 0001667731-17-000070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170217 FILED AS OF DATE: 20170217 DATE AS OF CHANGE: 20170217 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: 1600 SEAPORT BOULEVARD STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: (650) 610-4600 MAIL ADDRESS: STREET 1: 1600 SEAPORT BOULEVARD STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94063 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fisher Melissa B CENTRAL INDEX KEY: 0001570337 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 17622896 MAIL ADDRESS: STREET 1: 188 E. 64TH STREET STREET 2: APT. 604 CITY: NEW YORK STATE: NY ZIP: 10065 4 1 fisher20170217.xml X0306 4 2017-02-17 0 0001118417 MODEL N, INC. MODN 0001570337 Fisher Melissa B C/O MODEL N, INC. 1600 SEAPORT BLVD., STE. 400 REDWOOD CITY CA 94063 1 0 0 0 Common Stock 2017-02-17 4 A 0 15873 0.00 A 21586 D Issuable upon vesting of Restricted Stock Units ("RSUs"). 25% of the shares subject to this RSU grant will vest quarterly on each of May 15, 2017, August 15, 2017, November 15, 2017 and February 15, 2018, provided the Reporting Person continues to serve on the Board of Directors through the applicable vesting dates. /s/ Melissa Fisher by Errol Hunter, Attorney-in-Fact 2017-02-17