0001359252-17-000001.txt : 20170608 0001359252-17-000001.hdr.sgml : 20170608 20170608170355 ACCESSION NUMBER: 0001359252-17-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170606 FILED AS OF DATE: 20170608 DATE AS OF CHANGE: 20170608 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 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: 17900816 MAIL ADDRESS: STREET 1: 800 KING FARM BOULEVARD STREET 2: 4TH FLOOR CITY: ROCKVILLE STATE: MD ZIP: 20850 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-06-06 0 0001628908 Evolent Health, Inc. EVH 0001359252 SAMET KENNETH A C/O EVOLENT HEALTH, INC. 800 N. GLEBE ROAD, SUITE 500 ARLINGTON VA 22203 1 0 0 0 Class A Common Stock 2017-06-06 4 S 0 4000 25.75 D 7850 D Includes restricted stock units under awards reported on Table 1 of Form 4s previously filed with the Securities and Exchange Commission. /s/ Jonathan Weinberg, Attorney-in-fact 2017-06-08