0001628908-21-000100.txt : 20210713 0001628908-21-000100.hdr.sgml : 20210713 20210713212719 ACCESSION NUMBER: 0001628908-21-000100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210709 FILED AS OF DATE: 20210713 DATE AS OF CHANGE: 20210713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILLIAMS FRANK J CENTRAL INDEX KEY: 0001204938 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 211089147 MAIL ADDRESS: STREET 1: 800 NORTH GLEBE ROAD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evolent Health, Inc. CENTRAL INDEX KEY: 0001628908 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 320454912 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 NORTH GLEBE RD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 BUSINESS PHONE: 571-389-6000 MAIL ADDRESS: STREET 1: 800 NORTH GLEBE RD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 4 1 wf-form4_162622602008289.xml FORM 4 X0306 4 2021-07-09 0 0001628908 Evolent Health, Inc. EVH 0001204938 WILLIAMS FRANK J C/O EVOLENT HEALTH, INC. 800 NORTH GLEBE ROAD, SUITE 500 ARLINGTON VA 22203 1 1 0 0 Executive Chairman Class A Common Stock 2021-07-09 4 S 0 3584 23 D 671494 D Class A Common Stock 2021-07-09 4 M 0 3584 3.84 A 675078 D Class A Common Stock 2021-07-09 4 S 0 3584 23 D 671494 D Class A Common Stock 66064 I See Footnote. Class A Common Stock Option (right to buy) 3.84 2021-07-09 4 M 0 3584 0 D 2024-04-01 Class A Common Stock 3584.0 712976 D The transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 11, 2021. Includes restricted stock units granted under awards reported on Table 1 of Form 4s previously filed with the Securities and Exchange Commission. Shares held of record by the Frank Williams Irrevocable Trust. Mr. Williams serves as the Trustee of the Frank Williams Irrevocable Trust. The Class A Common Stock Options exercised vested on December 1, 2014. /s/ Jonathan Weinberg, Attorney-in-fact 2021-07-13