0001628280-19-001723.txt : 20190221
0001628280-19-001723.hdr.sgml : 20190221
20190221205016
ACCESSION NUMBER: 0001628280-19-001723
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190221
FILED AS OF DATE: 20190221
DATE AS OF CHANGE: 20190221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Henricks Alan S.
CENTRAL INDEX KEY: 0001513957
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35840
FILM NUMBER: 19623808
MAIL ADDRESS:
STREET 1: 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_155080020132333.xml
FORM 4
X0306
4
2019-02-21
0
0001118417
MODEL N, INC.
MODN
0001513957
Henricks Alan S.
C/O MODEL N, INC.
777 MARINERS ISLAND BOULEVARD, SUITE 300
SAN MATEO
CA
94404
1
0
0
0
Common Stock
2019-02-21
4
S
0
4139
17.08
D
50173
D
Common Stock
2019-02-21
4
S
0
4694
17.08
D
45479
D
Common Stock
2019-02-21
4
S
0
4081
17.08
D
41398
D
The reported price is an average price. These shares were sold in multiple transactions at prices ranging from $17.01 to $17.13, inclusive.
Alan Henricks by Errol Hunter, Attorney-in-Fact
2019-02-21