0000950157-17-000198.txt : 20170203
0000950157-17-000198.hdr.sgml : 20170203
20170203193723
ACCESSION NUMBER: 0000950157-17-000198
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170201
FILED AS OF DATE: 20170203
DATE AS OF CHANGE: 20170203
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: McGrane Nicholas
CENTRAL INDEX KEY: 0001643086
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37415
FILM NUMBER: 17573755
MAIL ADDRESS:
STREET 1: 800 N. GLEBE ROAD, SUITE 500
CITY: ARLINGTON
STATE: VA
ZIP: 22203
4
1
form4.xml
X0306
4
2017-02-01
0001628908
Evolent Health, Inc.
EVH
0001643086
McGrane Nicholas
C/O EVOLENT HEALTH, INC.
800 N. GLEBE ROAD, SUITE 500
ARLINGTON
VA
22203
true
Chief Financial Officer
Class A Common Stock
2017-02-01
4
A
0
17123
0
A
132413
D
Class A Common Stock Option (right to buy)
18.25
2017-02-01
4
A
0
38297
0
A
2027-02-01
Class A Common Stock
38297
38297
D
Represents restricted stock units granted to Mr. McGrane pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation plan.
Securities vest at a rate of 25% annually beginning February 1, 2018.
Securities vest at a rate of 25% annually beginning February 1, 2018.
/s/ Jonathan Weinberg, Attorney-in-fact
2017-02-03