0001667731-17-000187.txt : 20170816
0001667731-17-000187.hdr.sgml : 20170816
20170816150331
ACCESSION NUMBER: 0001667731-17-000187
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170815
FILED AS OF DATE: 20170816
DATE AS OF CHANGE: 20170816
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Generalis Amelia
CENTRAL INDEX KEY: 0001679264
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35840
FILM NUMBER: 171036105
MAIL ADDRESS:
STREET 1: C/O MODEL N, INC.,1600 SEAPORT BOULEVARD
STREET 2: SUITE 400
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
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: 1600 SEAPORT BOULEVARD
STREET 2: SUITE 400
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
BUSINESS PHONE: (650) 610-4600
MAIL ADDRESS:
STREET 1: 1600 SEAPORT BOULEVARD
STREET 2: SUITE 400
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
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
generalisamelia.xml
X0306
4
2017-08-15
0
0001118417
MODEL N, INC.
MODN
0001679264
Generalis Amelia
C/O MODEL N, INC.,1600 SEAPORT BOULEVARD
SUITE 400
REDWOOD CITY
CA
94063
0
1
0
0
SVP, Chief People Officer
Common Stock
2017-08-15
4
S
0
3758
13.30
D
76734
D
All of the shares reported as disposed of in this Form 4 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"). The Reporting Person did not sell or otherwise dispose of any of the shares reported on this Form 4 for any reason other than to cover required taxes.
/s/ Amelia Generalis by Errol Hunter, Attorney-In-Fact
2017-08-15