SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Durham Joann M.

(Last) (First) (Middle)
228 STRAWBERRY DRIVE, SUITE 100

(Street)
MOORESTOWN NJ 08057

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Tabula Rasa HealthCare, Inc. [ TRHC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
10/04/2016
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 10/04/2016 X 7,731 A $0.48 811,398(1) I By Husband
Common Stock 10/04/2016 S 1,063 D $12 810,335(1) I By Husband
Common Stock 10/04/2016 X 12,886 A $0.48 12,886 D
Common Stock 10/04/2016 X 264 A $3.1 13,150 D
Common Stock 10/04/2016 X 660 A $3.1 13,810 D
Common Stock 10/04/2016 X 684 A $3.1 14,494 D
Common Stock 10/04/2016 X 684 A $3.1 15,178 D
Common Stock 10/04/2016 X 661 A $3.1 15,839 D
Common Stock 10/04/2016 X 684 A $3.1 16,523 D
Common Stock 10/04/2016 X 661 A $3.1 17,184 D
Common Stock 10/04/2016 X 684 A $3.1 17,868 D
Common Stock 10/04/2016 X 364 A $5.82 18,232 D
Common Stock 10/04/2016 X 329 A $5.82 18,561 D
Common Stock 10/04/2016 X 364 A $5.82 18,925 D
Common Stock 10/04/2016 X 353 A $5.82 19,278 D
Common Stock 10/04/2016 X 364 A $5.82 19,642 D
Common Stock 10/04/2016 X 353 A $5.82 19,995 D
Common Stock 10/04/2016 X 364 A $5.82 20,359 D
Common Stock 10/04/2016 X 364 A $5.82 20,723 D
Common Stock 10/04/2016 X 353 A $5.82 21,076 D
Common Stock 10/04/2016 X 364 A $5.82 21,440 D
Common Stock 10/04/2016 X 353 A $5.82 21,793 D
Common Stock 10/04/2016 X 90 A $5.82 21,883 D
Common Stock 10/04/2016 S 3,007 D $12 18,876 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant (Right to Buy) $0.48 10/04/2016 M 7,731 05/01/2009 05/01/2019 Common Stock 7,731 $0 0 I By Husband
Warrant (Right to Buy) $0.48 10/04/2016 M 12,886 05/01/2009 05/01/2019 Common Stock 12,886 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 264 05/15/2013 05/15/2023 Common Stock 264 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 660 06/15/2013 06/15/2023 Common Stock 660 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 684 07/15/2013 07/15/2023 Common Stock 684 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 684 08/15/2013 08/15/2023 Common Stock 684 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 661 09/15/2013 09/15/2023 Common Stock 661 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 684 10/15/2013 10/15/2023 Common Stock 684 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 661 11/15/2013 11/15/2023 Common Stock 661 $0 0 D
Warrant (Right to Buy) $3.1 10/04/2016 M 684 12/15/2013 12/15/2023 Common Stock 684 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 364 01/15/2014 01/15/2024 Common Stock 364 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 329 02/15/2014 02/15/2024 Common Stock 329 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 364 03/15/2014 03/15/2024 Common Stock 364 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 353 04/15/2014 04/15/2024 Common Stock 353 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 364 05/15/2014 05/15/2024 Common Stock 364 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 353 06/15/2014 06/15/2024 Common Stock 353 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 364 07/15/2014 07/15/2024 Common Stock 364 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 364 08/15/2014 08/15/2024 Common Stock 364 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 353 09/15/2014 09/15/2024 Common Stock 353 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 364 10/15/2014 10/15/2024 Common Stock 364 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 353 11/15/2014 11/15/2024 Common Stock 353 $0 0 D
Warrant (Right to Buy) $5.82 10/04/2016 M 90 12/15/2014 12/15/2024 Common Stock 90 $0 0 D
Explanation of Responses:
1. The Form 3 filed on September 28, 2016 for the Reporting Person reported that she directly owned 803,425 shares of common stock, however the Reporting Person owned 803,667 shares of common stock. The additional 242 shares not previously reported have been included in the above given totals.
/s/ Joann M. Durham 10/04/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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