0001209191-18-039502.txt : 20180626
0001209191-18-039502.hdr.sgml : 20180626
20180626161056
ACCESSION NUMBER: 0001209191-18-039502
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180622
FILED AS OF DATE: 20180626
DATE AS OF CHANGE: 20180626
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rinat Zack
CENTRAL INDEX KEY: 0001571039
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35840
FILM NUMBER: 18919403
MAIL ADDRESS:
STREET 1: C/O MODEL N, INC.
STREET 2: 1600 SEAPORT BOULEVARD SUITE 400
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-06-22
0
0001118417
MODEL N, INC.
MODN
0001571039
Rinat Zack
26319 ESPERANZA DRIVE
LOS ALTOS HILLS
CA
94022
0
0
1
0
Common Stock
2018-06-22
4
S
0
457000
17.00
D
2735396
D
Common Stock
2018-06-25
4
S
0
57988
17.00
D
2677408
D
Common Stock
26907
I
By the GADD Inc.
Common Stock
1666666
I
By the Rinat Family 2006 Trust Dated December 13, 2006
/s/ Zack Rinat
2018-06-25