SEC Form 4 · accession 0001667731-16-000105
MODEL N, INC. · MODN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy M Adams
Director
Period of report
Dec 23, 2016
Accepted (ET)
Dec 28, 2016 · 5:39 pm 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 StockF1 | Dec 23, 2016 | A | 2,349 | $0.00 | A | 2,349 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Issuable upon vesting of Restricted Stock Units ("RSUs"). 100% of the shares subject to this RSU grant will vest on February 15, 2017, provided the Reporting Person continues to serve on the Board of Directors through the applicable vesting date.