modn-s8_20141118.htm

As filed with the Securities and Exchange Commission on November 20, 2015

Registration No. 333-            

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM S-8

REGISTRATION STATEMENT

UNDER

THE SECURITIES ACT OF 1933

 

Model N, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

 

Delaware

 

77-0528806

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification Number)

1600 Seaport Boulevard, Suite 400

Pacific Shores Center – Building 6

Redwood City, California 94063

(650) 610-4600

(Address of Principal Executive Offices)

2013 Equity Incentive Plan

2013 Employee Stock Purchase Plan

(Full title of the plan)

 

Mark Tisdel

Chief Financial Officer

Model N, Inc.

1600 Seaport Boulevard, Suite 400

Pacific Shores Center – Building 6

Redwood City, California 94063

(Name and address of agent for service)

(650) 610-4600

(Telephone number, including area code, of agent for service)

 

Copies to:

 

Theodore G. Wang, Esq.

Jeffrey R. Vetter, Esq.

Fenwick & West LLP

Silicon Valley Center

801 California Street

Mountain View, California 94041

(650) 988-8500

 

Errol H. Hunter, Esq.,

Vice President and General Counsel

Model N, Inc.

1600 Seaport Boulevard, Suite 400

Pacific Shores Center – Building 6

Redwood City, California 94063

(650) 610-4600

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

 

Large accelerated filer

 

¨

  

Accelerated filer

 

x

 

 

 

 

Non-accelerated filer

 

¨  (Do not check if a smaller reporting company)

  

Smaller reporting company

 

¨

 


CALCULATION OF REGISTRATION FEE

 

Title of Securities

To Be Registered

 

Amount

To Be

Registered (1)

 

Proposed

Maximum

Offering Price

Per Share

 

Proposed

Maximum

Aggregate

Offering Price

 

Amount of

Registration Fee

Common Stock, $0.00015 par value per share

 

 

 

 

 

 

 

 

—To be issued under the 2013 Equity Incentive Plan

 

1,333,166(2)

 

$10.30(4)

 

$13,731,610(4)

 

$1,383(4)

—To be issued under the 2013 Employee Stock Purchase Plan

 

533,266(3)

 

$8.76(5)

 

$4,671,411(5)

 

$471(5)

Total

 

1,866,432

 

N/A

 

$18,403,021

 

$1,854

 

(1)

Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration Statement shall also cover any additional shares of the Registrant’s Common Stock that become issuable in respect of the securities identified in the above table by reason of any stock dividend, stock split, recapitalization or other similar transaction effected without the Registrant’s receipt of consideration which results in an increase in the number of the outstanding shares of the Registrant’s Common Stock.

 

(2)

Represents additional shares of Common Stock reserved for issuance under the Registrant’s 2013 Equity Incentive Plan as of October 1, 2015.

 

(3)

Represents additional shares of Common Stock reserved for issuance under the Registrant’s 2013 Employee Stock Purchase Plan as of October 1, 2015.

 

(4)

Calculated solely for the purposes of this offering under Rules 457(c) and (h) of the Securities Act on the basis of the average of the high and low prices of the Registrant’s Common Stock as reported on the New York Stock Exchange on November 13, 2015.

 

(5)

Calculated solely for the purposes of this offering under Rules 457(c) and (h) of the Securities Act on the basis of the average of the high and low prices of the Registrant’s Common Stock as reported on the New York Stock Exchange on November 13, 2015, multiplied by 85%, which is the percentage of the price per share applicable to purchases under the 2013 Employee Stock Purchase Plan.

REGISTRATION OF ADDITIONAL SHARES

PURSUANT TO GENERAL INSTRUCTION E

Pursuant to General Instruction E of Form S-8, Model N, Inc. (the “Registrant”) is filing this Registration Statement with the SEC to register:

 

 

(i)

1,333,166 additional shares of Common Stock under the Registrant’s 2013 Equity Incentive Plan (“EIP”), pursuant to the provisions of the EIP providing for an automatic increase in the number of shares reserved for issuance under the EIP on October 1, 2015; and

 

 

(ii)

533,266 additional shares of Common Stock under the Registrant’s 2013 Employee Stock Purchase Plan (“ESPP”), pursuant to the provisions of the ESPP providing for an automatic increase in the number of shares reserved for issuance under the ESPP on October 1, 2015.

This Registration Statement hereby incorporates by reference the contents of the Registrant’s registration statement on Form S-8 filed with the Securities and Exchange Commission (the “Commission”) on March 20, 2013 (Registration No. 333-187388). In accordance with the instructional note to Part I of Form S-8 as promulgated by the Commission, the information specified by Part I of Form S-8 has been omitted from this Registration Statement.

 


PART II

Information Required in the Registration Statement

Item 3.

Incorporation of Documents by Reference.

The Registrant hereby incorporates by reference into this Registration Statement the following documents previously filed with the Commission:

 

a)

the Registrant’s Annual Report on Form 10-K for the fiscal year ended September 30, 2015 filed with the Commission on November 20, 2015 pursuant to Section 13 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”);

 

b)

all other reports filed pursuant to Section 13(a) or 15(d) of the Exchange Act since the end of the fiscal year covered by the Registrant’s Annual Report on Form 10-K referred to in (a) above; and

 

c)

the description of the Registrant’s Common Stock contained in the Registrant’s Registration Statement on Form 8-A (Registration No. 001-35840) filed with the Commission on March 18, 2013, including any amendments or reports filed for the purpose of updating such description.

All reports and definitive proxy or information statements filed by the Registrant pursuant to Section 13(a), 13(c), 14 or 15(d) of the Exchange Act subsequent to the filing of this Registration Statement and prior to the filing of a post-effective amendment which indicates that all securities offered hereby have been sold or which de-registers all securities then remaining unsold shall be deemed to be incorporated by reference into this Registration Statement and to be a part hereof from the date of the filing of such documents, except as to documents or information deemed to have been furnished and not filed in accordance with the rules of the Commission. Unless expressly incorporated into this Registration Statement, a report furnished on Form 8-K prior or subsequent to the date hereof shall not be incorporated by reference into this Registration Statement. Any statement contained in a document incorporated or deemed to be incorporated by reference herein shall be deemed to be modified or superseded for purposes of this Registration Statement to the extent that a statement contained in any subsequently filed document which also is deemed to be incorporated by reference herein modifies or supersedes such statement.

Item 8.

Exhibits.

 

 

  

 

  

Incorporated by Reference

 

  

 

 

Exhibit

Number

  

Exhibit Description

  

Form

 

  

File No.

 

  

Exhibit

 

  

Filing Date

 

  

Filed
Herewith

 

 

 

 

 

 

 

 

  4.1

  

Amended and Restated Certificate of Incorporation of the Registrant

  

 

10-Q

  

  

 

001-35840

  

  

 

3.1

  

  

 

5/10/2013

  

  

 

 

 

 

 

 

 

 

 

 

  4.2

  

Amended and Restated Bylaws of the Registrant

  

 

10-Q

  

  

 

001-35840

  

  

 

3.2

  

  

 

5/10/2013

  

  

 

 

 

 

 

 

 

 

 

 

  4.3

  

Form of Registrant’s Common Stock certificate

  

 

S-1 

  

  

 

333-186668

  

  

 

4.01

  

  

 

3/7/2013

  

  

 

 

 

 

 

 

 

 

 

 

  5.1

  

Opinion of General Counsel (including consent)

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

23.1

  

Consent of General Counsel (contained in Exhibit 5.1)

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

23.2

  

Consent of PricewaterhouseCoopers LLP, independent registered public accounting firm

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

24.1

  

Power of Attorney (included on the signature page to this Registration Statement)

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

99.1

  

2013 Equity Incentive Plan and forms of stock option agreement and stock option exercise agreement

  

 

S-1 

  

  

 

333-186668

  

  

 

10.04

  

  

 

3/7/2013

  

  

 

 

 

 

 

 

 

 

 

 

99.2

  

2013 Employee Stock Purchase Plan

  

 

S-8 

  

  

 

333-187388

  

  

 

99.4

  

  

 

3/20/2013

  

  

 

 

 

 

 

 

 

 

 

 

99.3

  

Form of Restricted Stock Unit Agreement

  

 

10-K

  

  

 

001-35840

  

  

 

10.12

  

  

 

12/9/2013

  

  

 

 

 

 


SIGNATURES

Pursuant to the requirements of the Securities Act, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in Redwood City, State of California, on this 20th day of November 2015.

 

 

MODEL N, INC.

 

 

 

 

By:

 

      /s/ Mark Tisdel

 

 

 

Mark Tisdel

 

 

 

SVP, Chief Financial Officer

 

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints Zack Rinat and Mark Tisdel, and each of them, as his or her true and lawful attorney-in-fact and agent with full power of substitution, for him or her in any and all capacities, to sign any and all amendments (including post-effective amendments) to this Registration Statement on Form S-8, and to file the same, with all exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorney-in-fact and agent full power and authority to do and perform each and every act and thing requisite and necessary to be done in connection therewith, as fully for all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said attorney-in-fact and agent, or his or her substitute, may lawfully do or cause to be done by virtue hereof.

Pursuant to the requirements of the Securities Act, this Registration Statement has been signed by the following persons in the capacities and on the date indicated.

 

Name

  

Title

 

Date

 

 

 

/s/ Zack Rinat

Zack Rinat

  

Chairman and Chief Executive Officer

(Principal Executive Officer)

 

November 20, 2015

 

 

 

/s/ Mark Tisdel

Mark Tisdel

  

Senior Vice President and Chief Financial Officer

(Principal Financial Officer and Principal Accounting Officer)

 

November 20, 2015

 

 

 

Additional Directors:

  

 

 

 

 

 

 

/s/ David Bonnette

David Bonnette

  

Director

 

November 20, 2015

 

 

 

/s/ Mark Garrett

Mark Garrett

  

Director

 

November 20, 2015

 

 

 

/s/ Alan Henricks

 

Director

 

November 20, 2015

 

Alan Henricks

 

 

 

 

 

 

 

/s/ Mark Leslie

Mark Leslie

  

Director

 

November 20, 2015

 

 

 

/s/ Charles Robel

Charles Robel

  

Director

 

November 20, 2015

 


EXHIBIT INDEX

 

 

  

 

  

Incorporated by Reference

 

  

 

 

Exhibit

Number

  

Exhibit Description

  

Form

 

  

File No.

 

  

Exhibit

 

  

Filing Date

 

  

Filed
Herewith

 

 

 

 

 

 

 

 

  4.1

  

Amended and Restated Certificate of Incorporation of the Registrant

  

 

10-Q

  

  

 

001-35840

  

  

 

3.1

  

  

 

5/10/2013

  

  

 

 

 

 

 

 

 

 

 

 

  4.2

  

Amended and Restated Bylaws of the Registrant

  

 

10-Q

  

  

 

001-35840

  

  

 

3.2

  

  

 

5/10/2013

  

  

 

 

 

 

 

 

 

 

 

 

  4.3

  

Form of Registrant’s Common Stock certificate

  

 

S-1 

  

  

 

333-186668

  

  

 

4.01

  

  

 

3/7/2013

  

  

 

 

 

 

 

 

 

 

 

 

  5.1

  

Opinion of General Counsel

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

23.1

  

Consent of General Counsel (contained in Exhibit 5.1)

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

23.2

  

Consent of PricewaterhouseCoopers LLP, independent registered public accounting firm

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

24.1

  

Power of Attorney (included on the signature page to this Registration Statement)

  

 

 

 

  

 

 

 

  

 

 

 

  

 

 

 

  

 

X

  

 

 

 

 

 

 

 

99.1

  

2013 Equity Incentive Plan and forms of stock option agreement and stock option exercise agreement

  

 

S-1 

  

  

 

333-186668

  

  

 

10.04

  

  

 

3/7/2013

  

  

 

 

 

 

 

 

 

 

 

 

99.2

  

2013 Employee Stock Purchase Plan

  

 

S-8 

  

  

 

333-187388

  

  

 

99.4

  

  

 

3/20/2013

  

  

 

 

 

 

 

 

 

 

 

 

99.3

  

Form of Restricted Stock Unit Agreement

  

 

10-K

  

  

 

001-35840

  

  

 

10.12

  

  

 

12/9/2013