0001118417-20-000075.txt : 20200519 0001118417-20-000075.hdr.sgml : 20200519 20200519214313 ACCESSION NUMBER: 0001118417-20-000075 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200516 FILED AS OF DATE: 20200519 DATE AS OF CHANGE: 20200519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeCarlis Kimberly CENTRAL INDEX KEY: 0001623303 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 20895564 MAIL ADDRESS: STREET 1: 3400 BRIDGE PARKWAY, SUITE 200 CITY: REDWOOD SHORES STATE: CA ZIP: 94065 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_158993897596312.xml FORM 4 X0306 4 2020-05-16 0 0001118417 MODEL N, INC. MODN 0001623303 DeCarlis Kimberly C/O MODEL N, INC. 777 MARINERS ISLAND BLVD, SUITE 300 SAN MATEO CA 94404 1 0 0 0 Common Stock 2020-05-16 4 A 0 186 0 A 4683 D In connection with the Reporting Person's appointment to and service as a member of the Issuer's Compensation Committee, 186 restricted stock units (RSUs) were granted. This award vests in three equal installments on August 15, 2020, November 15, 2020, and February 15, 2021 provided the Reporting Person continues to serve on the Compensation Committee through the applicable vesting date. Kimberly DeCarlis by Errol Hunter, Attorney-in-Fact 2020-05-19