SEC FORM 3

SEC Form 3

FORM 3

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

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Durham Joann M.

(Last)

(First)

(Middle)

3 BARTRAM COURT

(Street)

MOORESTOWN

08057

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
09/28/2016

3. Issuer Name and Ticker or Trading Symbol
Tabula Rasa HealthCare, Inc. [ TRHC ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	803,425	I	By husband

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Warrant (Common Stock)	05/01/2009	05/01/2019⁽¹⁾	Common Stock	12,886	$0.48	D
Warrant (Common Stock)	05/01/2009	05/01/2019⁽¹⁾	Common Stock	7,731	$0.48	I	By husband
Warrant (Common Stock)	05/15/2013	05/15/2023⁽¹⁾	Common Stock	264	$3.1	D
Warrant (Common Stock)	06/15/2013	06/15/2023⁽¹⁾	Common Stock	660	$3.1	D
Warrant (Common Stock)	07/15/2013	07/15/2023⁽¹⁾	Common Stock	684	$3.1	D
Warrant (Common Stock)	08/15/2013	08/15/2023⁽¹⁾	Common Stock	684	$3.1	D
Warrant (Common Stock)	09/15/2013	09/15/2023⁽¹⁾	Common Stock	661	$3.1	D
Warrant (Common Stock)	10/15/2013	10/15/2023⁽¹⁾	Common Stock	684	$3.1	D
Warrant (Common Stock)	11/15/2013	11/15/2023⁽¹⁾	Common Stock	661	$3.1	D
Warrant (Common Stock)	12/15/2013	12/15/2023⁽¹⁾	Common Stock	684	$3.1	D
Warrant (Common Stock)	01/15/2014	01/15/2024⁽¹⁾	Common Stock	364	$5.82	D
Warrant (Common Stock)	02/15/2014	02/15/2024⁽¹⁾	Common Stock	329	$5.82	D
Warrant (Common Stock)	03/15/2014	03/15/2024⁽¹⁾	Common Stock	364	$5.82	D
Warrant (Common Stock)	04/15/2014	04/15/2024⁽¹⁾	Common Stock	353	$5.82	D
Warrant (Common Stock)	05/15/2014	05/15/2024⁽¹⁾	Common Stock	364	$5.82	D
Warrant (Common Stock)	06/15/2014	06/15/2024⁽¹⁾	Common Stock	353	$5.82	D
Warrant (Common Stock)	07/15/2014	07/15/2024⁽¹⁾	Common Stock	364	$5.82	D
Warrant (Common Stock)	08/15/2014	08/15/2024⁽¹⁾	Common Stock	364	$5.82	D
Warrant (Common Stock)	09/15/2014	09/15/2024⁽¹⁾	Common Stock	353	$5.82	D
Warrant (Common Stock)	10/15/2014	10/15/2024⁽¹⁾	Common Stock	364	$5.82	D
Warrant (Common Stock)	11/15/2014	11/15/2024⁽¹⁾	Common Stock	353	$5.82	D
Warrant (Common Stock)	12/15/2014	12/15/2024⁽¹⁾	Common Stock	90	$5.82	D

Explanation of Responses:

1. Warrants expire on the earlier of the date stated or the date of the closing of the Issuer's initial public offering.

	/s/ Joann M. Durham	09/28/2016
	** Signature of Reporting Person	Date
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 5 (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.