X0306 4 2019-05-02 0 0001668397 Medpace Holdings, Inc. MEDP 0001622058 Troendle August J. C/O MEDPACE HOLDINGS, INC. 5375 MEDPACE WAY CINCINNATI OH 45227 1 1 1 0 President & CEO Common Stock 603702 D Common Stock 7751125 I By Medpace Investors, LLC Common Stock 10000 I By son Employee Stock Option (Right to Buy) 56.61 2019-05-02 4 A 0 234259 0 A 2026-05-02 Common Stock 234259 234259 D The Reporting Person is the sole manager and controlling unit holder of Medpace Investors, LLC ("MPI") and has sole voting and investment control with respect to the shares held by MPI. The Reporting Person may be deemed to indirectly beneficially own the securities of the Issuer held by MPI but disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The option vests immediately upon issuance. /s/ Stephen P. Ewald, Attorney-in-Fact for August J. Troendle 2019-05-06