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