0001118417-21-000145.txt : 20211001 0001118417-21-000145.hdr.sgml : 20211001 20211001195133 ACCESSION NUMBER: 0001118417-21-000145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211001 DATE AS OF CHANGE: 20211001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson, Mark, Albert CENTRAL INDEX KEY: 0001671704 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 211300522 BUSINESS ADDRESS: STREET 1: C/O MODEL N, INC.,1600 SEAPORT BOULEVARD STREET 2: SUITE 400, PACIFIC SHORES CENTER - BLD.6 CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: 650-610-4600 MAIL ADDRESS: STREET 1: C/O MODEL N, INC.,1600 SEAPORT BOULEVARD STREET 2: SUITE 400, PACIFIC SHORES CENTER - BLD.6 CITY: REDWOOD CITY STATE: CA ZIP: 94063 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_163313227960583.xml FORM 4 X0306 4 2021-10-01 0 0001118417 MODEL N, INC. MODN 0001671704 Anderson, Mark, Albert C/O MODEL N, INC. 777 MARINERS ISLAND BOULEVARD, SUITE 300 SAN MATEO CA 94404 0 1 0 0 Chief Services Officer Common Stock 2021-10-01 4 S 0 5208 33.85 D 143377 D This sale was affected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on March 4, 2021. The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $33.16 to $34.22 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. /s/Mark Anderson by Errol Hunter, Attorney-in-Fact 2021-10-01