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