0000899243-16-014047.txt : 20160223 0000899243-16-014047.hdr.sgml : 20160223 20160223141007 ACCESSION NUMBER: 0000899243-16-014047 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160219 FILED AS OF DATE: 20160223 DATE AS OF CHANGE: 20160223 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: 1600 SEAPORT BOULEVARD STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: (650) 610-4600 MAIL ADDRESS: STREET 1: 1600 SEAPORT BOULEVARD STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94063 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tisdel Mark CENTRAL INDEX KEY: 0001609384 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 161447907 MAIL ADDRESS: STREET 1: 1800 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-19 0 0001118417 MODEL N, INC. MODN 0001609384 Tisdel Mark 1600 SEAPORT BOULEVARD, SUITE 400 REDWOOD CITY CA 94063 0 1 0 0 SVP & Chief Financial Officer Common Stock 2016-02-19 4 A 0 2209 8.58 A 225970 D Acquired under the Model N 2013 Employee Stock Purchase Plan. /s/ Mark Tisdel by Errol Hunter, Attorney-in-fact 2016-02-23