0001179110-18-000932.txt : 20180117 0001179110-18-000932.hdr.sgml : 20180117 20180117183509 ACCESSION NUMBER: 0001179110-18-000932 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180112 FILED AS OF DATE: 20180117 DATE AS OF CHANGE: 20180117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adams Brian W CENTRAL INDEX KEY: 0001685747 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 18532533 MAIL ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tabula Rasa HealthCare, Inc. CENTRAL INDEX KEY: 0001651561 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 465726437 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 BUSINESS PHONE: 866-648-2767 MAIL ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 4 1 edgar.xml FORM 4 - X0306 4 2018-01-12 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001685747 Adams Brian W 228 STRAWBRIDGE DRIVE, SUITE 100 MOORESTOWN NJ 08057 0 1 0 0 Chief Financial Officer Common Stock 2018-01-12 4 M 0 10309 1.56 A 81826 D Common Stock 2018-01-12 4 M 0 6701 1.56 A 88527 D Common Stock 2018-01-12 4 M 0 2577 1.56 A 91104 D Common Stock 2018-01-12 4 M 0 1288 1.56 A 92392 D Common Stock 2018-01-12 4 M 0 8442 2.14 A 100834 D Common Stock 2018-01-12 4 M 0 7731 3.11 A 108565 D Common Stock 2018-01-12 4 M 0 675 3.11 A 109240 D Common Stock 2018-01-12 4 M 0 263 5.82 A 109503 D Common Stock 2018-01-12 4 M 0 10309 5.82 A 119812 D Common Stock 2018-01-12 4 M 0 7731 5.82 A 127543 D Common Stock 2018-01-12 4 M 0 625 5.82 A 128168 D Common Stock 2018-01-12 4 P 0 5391 14.23 A 133559 D Common Stock 2018-01-12 4 F 0 8002 32.95 D 125557 D Employee Stock Option (right to buy) 1.56 2018-01-12 4 M 0 10309 0 D 2021-10-20 Common Stock 10309 0 D Employee Stock Option (right to buy) 1.56 2018-01-12 4 M 0 6701 0 D 2022-01-06 Common Stock 6701 0 D Employee Stock Option (right to buy) 1.56 2018-01-12 4 M 0 2577 0 D 2012-01-06 2022-01-06 Common Stock 2577 0 D Employee Stock Option (right to buy) 1.56 2018-01-12 4 M 0 1288 0 D 2012-03-01 2022-03-01 Common Stock 1288 0 D Employee Stock Option (right to buy) 2.14 2018-01-12 4 M 0 8442 0 D 2012-12-20 2022-12-20 Common Stock 8442 0 D Employee Stock Option (right to buy) 3.11 2018-01-12 4 M 0 7731 0 D 2023-01-02 Common Stock 7731 0 D Employee Stock Option (right to buy) 3.11 2018-01-12 4 M 0 675 0 D 2013-01-22 2023-01-22 Common Stock 675 0 D Employee Stock Option (right to buy) 5.82 2018-01-12 4 M 0 263 0 D 2014-01-01 2024-01-01 Common Stock 263 0 D Employee Stock Option (right to buy) 5.82 2018-01-12 4 M 0 10309 0 D 2024-01-01 Common Stock 10309 0 D Employee Stock Option (right to buy) 5.82 2018-01-12 4 M 0 7731 0 D 2025-01-01 Common Stock 7731 2578 D Employee Stock Option (right to buy) 5.82 2018-01-12 4 M 0 625 0 D 2025-02-01 Common Stock 625 0 D Employee Stock Option (right to buy) 14.23 2018-01-12 4 M 0 5391 0 D 2026-10-21 Common Stock 5391 29609 D The Stock Option vested 25% on October 20, 2012 and in equal 1/36th installments each month thereafter. The Stock Option vested 25% on January 6, 2013 and in equal 1/36th installments each month thereafter. The Stock Option vested 25% on January 2, 2014 and in equal 1/36th installments each month thereafter. The Stock Option vested 25% on January 1, 2015 and in equal 1/36th installments each month thereafter. The Stock Option vested 25% on January 1, 2016 and vests in equal 1/36th installments each month thereafter. Previous disclosure stated that the Stock Option vested 25% on February 1, 2016 and vests in equal 1/36th installments each month thereafter. Notwithstanding the foregoing, the Stock Option actually vested immediately. The Stock Option vested one-third on October 21, 2017 and in equal 1/24th installments each month thereafter. /s/ Brian W. Adams 2018-01-17