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