0001118417-23-000232.txt : 20231215 0001118417-23-000232.hdr.sgml : 20231215 20231215200909 ACCESSION NUMBER: 0001118417-23-000232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231214 FILED AS OF DATE: 20231215 DATE AS OF CHANGE: 20231215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeCarlis Kimberly CENTRAL INDEX KEY: 0001623303 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 231491980 MAIL ADDRESS: STREET 1: 3400 BRIDGE PARKWAY, SUITE 200 CITY: REDWOOD SHORES STATE: CA ZIP: 94065 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 wk-form4_1702688939.xml FORM 4 X0508 4 2023-12-14 0 0001118417 MODEL N, INC. MODN 0001623303 DeCarlis Kimberly C/O MODEL N, INC. 777 MARINERS ISLAND BLVD, SUITE 300 SAN MATEO CA 94404 1 0 0 0 1 Common Stock 2023-12-14 4 S 0 1000 24.06 D 12105 D This sale was affected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on December 12, 2022, as amended. /s/ Kimberly DeCarlis by Errol Hunter, Attorney-in-Fact 2023-12-15