0001179110-21-006421.txt : 20210604 0001179110-21-006421.hdr.sgml : 20210604 20210604162233 ACCESSION NUMBER: 0001179110-21-006421 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210602 FILED AS OF DATE: 20210604 DATE AS OF CHANGE: 20210604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greenhalgh Michael CENTRAL INDEX KEY: 0001805817 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 21996754 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 2021-06-02 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001805817 Greenhalgh Michael 228 STRAWBRIDGE DRIVE MOORESTOWN NJ 08057 0 1 0 0 Chief Operating Officer Common Stock 2021-06-02 4 M 0 1000 3.11 A 169771 D Common Stock 2021-06-02 4 S 0 1000 46.00 D 168771 D Employee Stock Option (right to buy) 3.11 2021-06-02 4 M 0 1000 0.00 D 2023-06-28 Common Stock 1000 33000 D The Stock Option vested one-fourth on June 28, 2014 and vested in equal 1/36th installments each month thereafter. /s/ Brian W. Adams, by Power of Attorney 2021-06-04