0001628908-22-000105.txt : 20220811 0001628908-22-000105.hdr.sgml : 20220811 20220811113801 ACCESSION NUMBER: 0001628908-22-000105 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220811 DATE AS OF CHANGE: 20220811 EFFECTIVENESS DATE: 20220811 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-455638 FILM NUMBER: 221154452 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 D 1 primary_doc.xml X0708 D LIVE 0001628908 Evolent Health, Inc. 800 NORTH GLEBE RD, SUITE 500 ARLINGTON VA VIRGINIA 22203 571-389-6000 DELAWARE None None Corporation true JONATHAN WEINBERG 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Executive Officer FRANK WILLIAMS 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director TUNDE SOTUNDE 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director DAVID FARNER 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director CRAIG BARBAROSH 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director BRIDGET DUFFY 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director PETER GRUA 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director DIANE HOLDER 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director KIM KECK 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director CHERYL SCOTT 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Director SETH BLACKLEY 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Executive Officer Director JOHN JOHNSON 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Executive Officer STEVE TUTEWOHL 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Executive Officer AAMMAAD SHAMS 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON VA VIRGINIA 22203 Executive Officer Other Decline to Disclose 06b false 2022-08-01 true true true Offering is in connection with a transaction with TPG Growth Iceman Parent, Inc. 0 181999816 124999816 57000000 Total consists of $124,999,815.90 of Class A Common Stock issued at Closing and up to $57,000,000 of Class A Common Stock to be issued pursuant to an earn-out arrangement through the end of 2023. false 6 0 0 0 false Evolent Health, Inc. /s/ JONATHAN WEINBERG JONATHAN WEINBERG GENERAL COUNSEL AND SECRETARY 2022-08-11