0001118417-22-000079.txt : 20220518
0001118417-22-000079.hdr.sgml : 20220518
20220518192109
ACCESSION NUMBER: 0001118417-22-000079
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: Blessing Jason
CENTRAL INDEX KEY: 0001499092
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35840
FILM NUMBER: 22940815
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_165291605205907.xml
FORM 4
X0306
4
2022-05-16
0
0001118417
MODEL N, INC.
MODN
0001499092
Blessing Jason
C/O MODEL N, INC.
777 MARINERS ISLAND BOULEVARD, SUITE 300
SAN MATEO
CA
94404
1
1
0
0
Chief Executive Officer
Common Stock
2022-05-16
4
S
0
2726
23.61
D
587684
D
Common Stock
2022-05-16
4
S
0
1539
23.61
D
586145
D
Common Stock
2022-05-16
4
S
0
2065
23.61
D
584080
D
Common Stock
2022-05-16
4
S
0
1795
23.61
D
580408
D
Common Stock
2022-05-16
4
S
0
1820
23.61
D
578588
D
Common Stock
2022-05-16
4
S
0
2420
23.61
D
576168
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 1,877 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.
Jason Blessing by Errol Hunter, Attorney-in-Fact
2022-05-18