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