0001628908-21-000080.txt : 20210614
0001628908-21-000080.hdr.sgml : 20210614
20210614174400
ACCESSION NUMBER: 0001628908-21-000080
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210610
FILED AS OF DATE: 20210614
DATE AS OF CHANGE: 20210614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: D'Amato Michael
CENTRAL INDEX KEY: 0001672282
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37415
FILM NUMBER: 211015802
MAIL ADDRESS:
STREET 1: 800 N. GLEBE ROAD
STREET 2: SUITE 500
CITY: ARLINGTON
STATE: VA
ZIP: 22203
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
4
1
wf-form4_162370702373481.xml
FORM 4
X0306
4
2021-06-10
0
0001628908
Evolent Health, Inc.
EVH
0001672282
D'Amato Michael
C/O EVOLENT HEALTH, INC.
800 NORTH GLEBE ROAD, SUITE 500
ARLINGTON
VA
22203
1
0
0
0
Class A Common Stock
2021-06-10
4
A
0
7785
0
A
93455
D
Represents restricted stock units granted to Mr D'Amato pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation Plan.
Securities vest on the earlier of June 10, 2022 and the date of the company's 2022 annual meeting, subject to the reporting person's continued service on the vesting date.
/s/ Jonathan Weinberg, Attorney-in-fact
2021-06-14