SEC Form 4 · accession 0000899243-16-019995
MODEL N, INC. · MODN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Zack Rinat
Officer — Executive Chairman · Director · 10% Owner
Period of report
May 12, 2016
Accepted (ET)
May 16, 2016 · 6:35 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001118417
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | May 12, 2016 | A | 100,000 | $0.00 | A | 2,338,309 | D | |
| Common Stock | holding | — | — | — | 24,002 | I | By GADD, Inc. | |
| Common Stock | holding | — | — | — | 666,666 | I | By the Danielle Rinat Family Heritage Trust dated December 12, 2005 | |
| Common Stock | holding | — | — | — | 666,666 | I | By the Gahl Rinat Family Heritage Trust Dated December 12, 2005 | |
| Common Stock | holding | — | — | — | 36,310 | I | By the Gahl Rinat Trust | |
| Common Stock | holding | — | — | — | 36,311 | I | By the Danielle Rinat Trust | |
| Common Stock | holding | — | — | — | 1,666,666 | I | By the Rinat Family 2006 Trust Dated December 13, 2006 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Issuable upon the vesting and satisfaction of certain performance criteria of Performance-Based Restricted Stock Units ("PB-RSUs"). Subject to the achievement of certain minimum performance criteria based upon total stockholder return, between a minimum of 0% and a maximum of 250%, the PB-RSUs will vest as to 50% on each of the second and third annual anniversary of the vesting commencement date until such time as the PB-RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting if the performance criteria have been met.
- F2Includes 72,667 and 34,666 shares of common stock issued upon the vesting of Performance-Based RSUs ("PB-RSUs") in connection with the achievement of 209% and 152%, respectively, of certain performance criteria related to the Reporting Person's PB-RUSs.