0000950157-16-002039.txt : 20160707 0000950157-16-002039.hdr.sgml : 20160707 20160707210216 ACCESSION NUMBER: 0000950157-16-002039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 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: Felt Bruce C. Jr. CENTRAL INDEX KEY: 0001410700 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 161757605 MAIL ADDRESS: STREET 1: C/O SUCCESSFACTORS, INC. STREET 2: 1500 FASHION ISLAND BLVD., SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 4 1 form4.xml X0306 4 2016-07-05 0001628908 Evolent Health, Inc. EVH 0001410700 Felt Bruce C. Jr. 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 11255 D Represents restricted stock units granted to Mr. Felt 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 EX-24 2 ex24.htm
Exhibit 24
 
Power of Attorney

The undersigned hereby constitutes and appoints Jonathan Weinberg, the undersigned’s true and lawful attorney-in-fact to execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director of Evolent Health, Inc. (the “Company”), Form ID – Uniform Application for Access Codes to File on EDGAR, Forms 3, 4 and 5 and any other forms required to be filed in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder (a “Form”).

The undersigned hereby grants to such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity at the request of the undersigned, is not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file any Forms pursuant to Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder, with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorney-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 9th day of June, 2015.
 
 
       
/s/ Bruce Felt
     
Name:  Bruce Felt
     
Title:    Director