0001181431-13-049689.txt : 20130918 0001181431-13-049689.hdr.sgml : 20130918 20130918153210 ACCESSION NUMBER: 0001181431-13-049689 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130916 FILED AS OF DATE: 20130918 DATE AS OF CHANGE: 20130918 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: 1800 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: (650) 610-4600 MAIL ADDRESS: STREET 1: 1800 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 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: MCP ENTREPRENEUR PARTNERS II LP CENTRAL INDEX KEY: 0001130610 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 131103574 BUSINESS ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6504752200 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERITECH CAPITAL PARTNERS II LP CENTRAL INDEX KEY: 0001119133 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 131103575 BUSINESS ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6504752200 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meritech Management Associates II L.L.C. CENTRAL INDEX KEY: 0001299074 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 131103577 BUSINESS ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 650-475-2200 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GORDON MICHAEL B CENTRAL INDEX KEY: 0001255152 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 131103579 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MADERA PAUL S CENTRAL INDEX KEY: 0001255151 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 131103580 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meritech Capital Associates II L.L.C. CENTRAL INDEX KEY: 0001299073 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 131103576 BUSINESS ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 650-475-2200 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERITECH CAPITAL AFFILIATES II LP CENTRAL INDEX KEY: 0001255154 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 131103578 BUSINESS ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6504752200 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE STREET 2: SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 4 1 rrd390792.xml X0306 4 2013-09-16 1 0001118417 MODEL N, INC. MODN 0001299074 Meritech Management Associates II L.L.C. 245 LYTTON AVENUE, SUITE 125 PALO ALTO CA 94301 0 0 1 0 0001299073 Meritech Capital Associates II L.L.C. 245 LYTTON AVENUE, SUITE 125 PALO ALTO CA 94301 0 0 1 0 0001119133 MERITECH CAPITAL PARTNERS II LP 245 LYTTON AVENUE, SUITE 125 PALO ALTO CA 94301 0 0 1 0 0001130610 MCP ENTREPRENEUR PARTNERS II LP 245 LYTTON AVENUE, SUITE 125 SUITE 200 PALO ALTO CA 94301 0 0 1 0 0001255151 MADERA PAUL S 245 LYTTON AVENUE, SUITE 125 PALO ALTO CA 94301 0 0 1 0 0001255152 GORDON MICHAEL B 245 LYTTON AVENUE, SUITE 125 PALO ALTO CA 94301 0 0 1 0 0001255154 MERITECH CAPITAL AFFILIATES II LP 245 LYTTON AVENUE, SUITE 125 PALO ALTO CA 94301 0 0 1 0 Common Stock 2013-09-16 4 J 0 1153022 0 D 1153022 I See Footnote Common Stock 2013-09-16 4 J 0 29669 0 D 29668 I See Footnote Common Stock 2013-09-16 4 J 0 8817 0 D 8817 I See Footnote Common Stock 2013-09-16 4 J 0 230606 0 A 230606 I See Footnote Common Stock 2013-09-16 4 J 0 230606 0 D 0 I See Footnote Common Stock 2013-09-16 4 J 0 43816 0 A 43816 I See Footnote Common Stock 2013-09-16 4 J 0 43816 0 D 0 I See Footnote Common Stock 2013-09-16 4 J 0 13183 0 A 13183 I See Footnote Common Stock 2013-09-16 4 J 0 13183 0 A 13183 I See Footnote Meritech Capital Partners II L.P. ("MCP II LP") made pro-rata distributions for no additional consideration of 1,153,022 shares of Common Stock of the Issuer to its partners on September 16, 2013. Meritech Capital Affiliates II L.P. ("MCA II LP") made pro-rata distributions for no additional consideration of 29,669 shares of Common Stock of the Issuer to its partners on September 16, 2013. MCP Entrepreneur Partners II L.P. ("MCP ENT II LP") made pro-rata distributions for no additional consideration of 8,817 shares of Common Stock of the Issuer to its partners on September 16, 2013. The reported securities are held of record by MCP II LP. Meritech Capital Associates II L.L.C. ("MCA II LLC"), the general partner of MCP II LP, has sole voting and dispositive power with respect to the securities held by MCP II LP. The managing member of MCA II LLC is Meritech Management Associates II L.L.C. ("MMA II LLC"). Paul S. Madera and Michael B. Gordon, the managing members of MMA II LLC, share voting and dispositive power with respect to the shares held by MCP II LP. Such persons and entities disclaim beneficial ownership of the securities held by MCP II LP except to the extent of any pecuniary interest therein. The reported securities are held of record by MCA II LP. MCA II LLC, the general partner of MCA II LP, has sole voting and dispositive power with respect to the securities held by MCA II LP. The managing member of MCA II LLC is MMA II LLC. Paul S. Madera and Michael B. Gordon, the managing members of MMA II LLC, share voting and dispositive power with respect to the shares held by MCA II LP. Such persons and entities disclaim beneficial ownership of the securities held by MCA II LP except to the extent of any pecuniary interest therein. The reported securities are held of record by MCP ENT II LP. MCA II LLC, the general partner of MCP ENT II LP, has sole voting and dispositive power with respect to the securities held by MCP ENT II LP. The managing member of MCA II LLC is MMA II LLC. Paul S. Madera and Michael B. Gordon, the managing members of MMA II LLC, share voting and dispositive power with respect to the shares held by MCP ENT II LP. Such persons and entities disclaim beneficial ownership of the securities held by MCP ENT II LP except to the extent of any pecuniary interest therein. Shares of Common Stock of the Issuer acquired by MCA II LLC in connection with the pro rata distributions of such shares for no consideration by MCP II LP, MCA II LP and MCP ENT II LP to their respective partners on September 16, 2013. The reported securities are held of record by MCA II LLC. The managing member of MCA II LLC is MMA II LLC. Paul S. Madera and Michael B. Gordon, the managing members of MMA II LLC, share voting and dispositive power with respect to the shares held by MCA II LLC. Such persons and entities disclaim beneficial ownership of the securities held by MCA II LLC except to the extent of any pecuniary interest therein. MCA II LLC made pro-rata distributions for no additional consideration of 230,606 shares of Common Stock of the Issuer to its partners on September 16, 2013. Shares of Common Stock of the Issuer acquired by Paul S. Madera in connection with the pro rata distributions of such shares by MMA II LLC for no additional consideration on September 16, 2013. Shares of Common Stock of the Issuer acquired by Michael B. Gordon in connection with the pro rata distributions of such shares by MMA II LLC for no additional consideration on September 16, 2013. Shares of Common Stock of the Issuer directly held by Paul S. Madera. Shares of Common Stock of the Issuer directly held by Michael B. Gordon. Shares of Common Stock of the Issuer acquired by MMA II LLC in connection with the pro rata distributions of such shares for no consideration by MCA II LLC to its members on September 16, 2013. MMA II LLC made pro-rata distributions for no additional consideration of 43,816 shares of Common Stock of the Issuer to its members on September 16, 2013. The reported securities are held of record by MMA II LLC. Paul S. Madera and Michael B. Gordon, the managing members of MMA II LLC, share voting and dispositive power with respect to the shares held by MMA II LLC. Such persons and entities disclaim beneficial ownership of the securities held by MMA II LLC except to the extent of any pecuniary interest therein. /s/ Joel Backman, by power of attorney for Meritech Management Associates II L.L.C. 2013-09-18 /s/ Joel Backman, by power of attorney for Meritech Management Associates II L.L.C., the managing member of Meritech Capital Associates II L.L.C. 2013-09-18 /s/ Joel Backman, by power of attorney for Meritech Management Associates II L.L.C., the managing member of Meritech Capital Associates II L.L.C., the general partner of Meritech Capital Partners II L.P. 2013-09-18 /s/ Joel Backman, by power of attorney for Meritech Management Associates II L.L.C., the managing member of Meritech Capital Associates II L.L.C., the general partner of Meritech Capital Affiliates II L.P. 2013-09-18 /s/ Joel Backman, by power of attorney for Meritech Management Associates II L.L.C., the managing member of Meritech Capital Associates II L.L.C., the general partner of MCP Entrepreneur Partners II L.P. 2013-09-18 /s/ Joel Backman, by power of attorney for Paul S. Madera 2013-09-18 /s/ Joel Backman, by power of attorney for Michael B. Gordon 2013-09-18