# EDGAR Filing Document

**Accession Number:** 0001118417
**File Stem:** 0001118417-23-000043
**Filing Date:** 2023-2
**Character Count:** 7141
**Document Hash:** 63793100a6638eec1b7ac6dc65cf3505
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001118417-23-000043.hdr.sgml**: 20230221

**ACCESSION NUMBER**: 0001118417-23-000043

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230216

**FILED AS OF DATE**: 20230221

**DATE AS OF CHANGE**: 20230221

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Lyon Christopher
- **CENTRAL INDEX KEY:** 0001773390

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-35840
- **FILM NUMBER:** 23650143

**MAIL ADDRESS:**
- **STREET 1:** C/O MODEL N, INC.
- **STREET 2:** 777 MARINERS ISLAND BLVD, SUITE 300
- **CITY:** SAN MATEO
- **STATE:** CA
- **ZIP:** 94404
**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:** 777 MARINERS ISLAND BOULEVARD
- **STREET 2:** SUITE 300
- **CITY:** SAN MATEO
- **STATE:** CA
- **ZIP:** 94404
- **BUSINESS PHONE:** (650) 610-4600

**MAIL ADDRESS:**
- **STREET 1:** 777 MARINERS ISLAND BOULEVARD
- **STREET 2:** SUITE 300
- **CITY:** SAN MATEO
- **STATE:** CA
- **ZIP:** 94404

**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

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Lyon Christopher<br><sub>(Last) (First) (Middle)</sub><br>C/O MODEL N, INC.<br>777 MARINERS ISLAND BLVD, SUITE 300<br><sub>(Street)</sub><br>SAN MATEO, CA 94404<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-02-16 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Chief Revenue Officer_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>MODEL N, INC. [ MODN ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2023-02-16 |  | S |  | 1571<sup>(1)</sup> | D | $35.04 | 157517 | D |  |
| Common Stock | 2023-02-16 |  | S |  | 698<sup>(1)</sup> | D | $35.04 | 156819 | D |  |
| Common Stock | 2023-02-16 |  | S |  | 2863<sup>(1)</sup> | D | $35.04 | 154024<sup>(2)</sup> | D |  |
| Common Stock | 2023-02-16 |  | S |  | 531<sup>(1)</sup> | D | $35.04 | 153493 | D |  |
| Common Stock | 2023-02-16 |  | S |  | 893<sup>(1)</sup> | D | $35.04 | 152600 | D |  |
| Common Stock | 2023-02-19 |  | A<sup>(3)</sup> |  | 759 | A | $25.97 | 153359 | D |  |
| Common Stock |  |  |  |  |  |  |  | 30473 | I | Christopher J Lyon Revocable Trust |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) All shares reported as disposed of in this transaction 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") and/or performance-based RSUs. The Reporting Person did not sell or otherwise dispose of any of the shares reported in this transaction for any reason other than to cover required taxes.

(2) Includes an additional 68 shares of common stock issued upon vesting of Performance-Based RSUs ("PB-RSUs") granted to the Reporting Person on December 4, 2020 in connection with the achievement of 101.1% of certain performance criteria related to the Reporting Person's PB-RSUs.

(3) Acquired under the Model N 2021 Employee Stock Purchase Plan.

**Signature:** /s/ Christopher Lyon by Errol Hunter, Attorney-In-Fact  
**Date:** 2023-02-21

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**