0000950157-16-002034.txt : 20160707
0000950157-16-002034.hdr.sgml : 20160707
20160707205615
ACCESSION NUMBER: 0000950157-16-002034
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160705
FILED AS OF DATE: 20160707
DATE AS OF CHANGE: 20160707
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Evolent Health, Inc.
CENTRAL INDEX KEY: 0001628908
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741]
IRS NUMBER: 320454912
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMET KENNETH A
CENTRAL INDEX KEY: 0001359252
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37415
FILM NUMBER: 161757589
MAIL ADDRESS:
STREET 1: 800 KING FARM BOULEVARD
STREET 2: 4TH FLOOR
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
4
1
form4.xml
X0306
4
2016-07-05
0001628908
Evolent Health, Inc.
EVH
0001359252
SAMET KENNETH A
C/O EVOLENT HEALTH, INC.
800 N. GLEBE ROAD, SUITE 500
ARLINGTON
VA
22203
true
Class A Common Stock
2016-07-05
4
A
0
5373
0
A
11850
D
Represents restricted stock units granted to Mr. Samet pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation Plan.
Securities vest on July 5, 2017.
/s/ Jonathan Weinberg, Attorney-in-fact
2016-07-07