0001118417-22-000074.txt : 20220518 0001118417-22-000074.hdr.sgml : 20220518 20220518191423 ACCESSION NUMBER: 0001118417-22-000074 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220516 FILED AS OF DATE: 20220518 DATE AS OF CHANGE: 20220518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kannan Suresh CENTRAL INDEX KEY: 0001790584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 22940792 MAIL ADDRESS: STREET 1: C/O MODEL N, INC. STREET 2: 777 MARINERS ISLAND BLVD, SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 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_165291564674698.xml FORM 4 X0306 4 2022-05-16 0 0001118417 MODEL N, INC. MODN 0001790584 Kannan Suresh C/O MODEL N, INC. 777 MARINERS ISLAND BLVD, SUITE 300 SAN MATEO CA 94404 0 1 0 0 Chief Product Officer Common Stock 2022-05-16 4 S 0 1402 23.61 D 154456 D Common Stock 2022-05-16 4 S 0 523 23.61 D 153149 D Common Stock 2022-05-16 4 S 0 419 23.61 D 152730 D Common Stock 2022-05-16 4 S 0 580 23.61 D 152150 D All shares reported as disposed of in this transaction were sold by the Reporting Person in order to pay the federal and state tax withholding obligations resulting from the vesting of the Reporting Person's Restricted Stock Units ("RSUs") and/or performance-based RSUs. The Reporting Person did not sell or otherwise dispose of any of the shares reported in this transaction for any reason other than to cover required taxes. Reflects a decrease of 784 shares of unvested Performance-Based RSUs ("PB-RSUs") that were cancelled due to the achievement of 64.9% of certain performance criteria related to PB-RSUs granted to the Reporting Person on November 22, 2019. /s/ Suresh Kannan by Errol Hunter, Attorney-In-Fact 2022-05-18