SEC Form 4 · accession 0001667731-17-000064
MODEL N, INC. · MODN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles J Robel
Director
Period of report
Feb 15, 2017
Accepted (ET)
Feb 17, 2017 · 6:32 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 | Feb 15, 2017 | M | 66,666 | $1.98 | A | 120,888 | D | |
| Common StockF2 | Feb 15, 2017 | S | 14,167 | $10.83 | D | 106,721 | D | |
| Common Stock | Feb 16, 2017 | S | 52,499 | $10.50 | D | 54,222 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Director Stock Option (Right to buy) | $1.98 | Feb 15, 2017 | M | 66,666 | D | Jan 29, 2011 | Apr 25, 2017 | Common Stock | 66,666 | 0 | D |
| Director Stock Option (Right to buy) | $6.72 | holding | — | — | — | Jul 11, 2015 | Nov 1, 2021 | Common Stock | 33,333 | 33,333 | D |
Explanation of responses
- F1Represents shares issued upon exercise of stock options expiring on April 25, 2017.
- F2Represents a weighted average sales price per share. These shares were sold in multiple transactions at prices ranging from $10.75 to $10.90. The reporting person undertakes to provide to the Issuer, the staff of the Securities and Exchange Commission or any security holder of the Issuer, upon request, full information regarding the number of shares sold at each separate price within the range.