0001628908-23-000125.txt : 20230803 0001628908-23-000125.hdr.sgml : 20230803 20230803164056 ACCESSION NUMBER: 0001628908-23-000125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230801 FILED AS OF DATE: 20230803 DATE AS OF CHANGE: 20230803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ajayi Toyin CENTRAL INDEX KEY: 0001988404 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 231140820 MAIL ADDRESS: STREET 1: 800 NORTH GLEBE ROAD STREET 2: SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 FORMER NAME: FORMER CONFORMED NAME: Ajayi Oluwatoyin DATE OF NAME CHANGE: 20230802 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_169109524134661.xml FORM 4 X0508 4 2023-08-01 0 0001628908 Evolent Health, Inc. EVH 0001988404 Ajayi Toyin C/O EVOLENT HEALTH, INC. 800 N. GLEBE ROAD, SUITE 500 ARLINGTON VA 22203 1 0 0 0 0 Class A Common Stock 2023-08-01 4 A 0 4386 0 A 4386 D Represents restricted stock units granted to Dr. Ajayi pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation Plan. Securities vest on the earlier of August 1, 2024 and the date of the Company's 2024 annual meeting, subject to the reporting person's continued service on the vesting date. /s/ Jonathan Weinberg, Attorney-in-fact 2023-08-03