0001140361-16-056449.txt : 20160303
0001140361-16-056449.hdr.sgml : 20160303
20160303192320
ACCESSION NUMBER: 0001140361-16-056449
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160301
FILED AS OF DATE: 20160303
DATE AS OF CHANGE: 20160303
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Evolent Health, Inc.
CENTRAL INDEX KEY: 0001628908
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741]
IRS NUMBER: 453084136
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: 161483168
MAIL ADDRESS:
STREET 1: 800 N. GLEBE ROAD, SUITE 500
CITY: ARLINGTON
STATE: VA
ZIP: 22203
4
1
doc1.xml
FORM 4
X0306
4
2016-03-01
0
0001628908
Evolent Health, Inc.
EVH
0001643086
McGrane Nicholas
C/O EVOLENT HEALTH, INC.
800 N. GLEBE ROAD, SUITE 500
ARLINGTON
VA
22203
0
1
0
0
Chief Financial Officer
Class A Common Stock
2016-03-01
4
A
0
12902
0
A
16994
D
Class A Common Stock Option (right to buy)
10.27
2016-03-01
4
A
0
28670
0
A
2026-03-01
Class A Common Stock
28670
345557
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 March 1, 2017.
Securities vest at a rate of 25% annually beginning March 1, 2017.
/s/ Jonathan Weinberg, Attorney-in-fact
2016-03-03