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