0001628908-22-000041.txt : 20220304 0001628908-22-000041.hdr.sgml : 20220304 20220304205710 ACCESSION NUMBER: 0001628908-22-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220302 FILED AS OF DATE: 20220304 DATE AS OF CHANGE: 20220304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Weinberg Jonathan CENTRAL INDEX KEY: 0001642833 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 22716012 MAIL ADDRESS: STREET 1: 800 N. GLEBE ROAD, 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_164644541632644.xml FORM 4 X0306 4 2022-03-02 0 0001628908 Evolent Health, Inc. EVH 0001642833 Weinberg Jonathan C/O EVOLENT HEALTH, INC. 800 N. GLEBE ROAD, SUITE 500 ARLINGTON VA 22203 0 1 0 0 General Counsel Class A Common Stock 2022-03-02 4 M 0 53789 0 A 163482 D Class A Common Stock 2022-03-02 4 F 0 3330 27.54 D 160152 D Class A Common Stock 2022-03-03 4 F 0 25049 27.54 D 135103 D Leveraged Restricted Stock Unit 0.0 2022-03-02 4 M 0 53789 0 D Class A Common Stock 53789.0 0 D Represents the vesting of the leveraged stock units granted to Mr. Weinberg on March 1, 2019, based on the cumulative performance of the Issuer's Class A Common Stock. Includes restricted stock units granted under awards reported on Table 1 of Form 4s previously filed with the Securities and Exchange Commission. This number represents shares of Class A Common Stock withheld to satisfy the tax withholding obligation due upon vesting of restricted stock units. This number represents shares of Class A Common Stock withheld to satisfy the tax withholding obligation due upon vesting of leveraged stock units. Leveraged Stock Units vested on March 2, 2022. These Leveraged Stock Units do not expire. /s/ Jonathan Weinberg 2022-03-04