SEC Form 4 · accession 0001209191-15-020641

MODEL N, INC. · MODN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chairman & CEO · Director · 10% Owner

Period of report

Feb 27, 2015

Accepted (ET)

Mar 3, 2015 · 6:33 am EST

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 Stock	Feb 27, 2015	M	66,667	$0.00	A	1,929,443	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 Tust
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

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F2,F3	—	Feb 27, 2015	M	66,667	D	—	—	Common Stock	66,667	66,666	D

F1Issued upon the vesting of Restricted Stock Units ("RSUs").
F2Each RSU represents a contingent right to receive one share of the Issuer's common stock.
F350% of the RSUs vested on February 27, 2015. 25% of the RSUs will vest on each annual anniversary thereafter until such time as the 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 settlement of vested RSUs.