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