0001213900-16-017114.txt : 20160928
0001213900-16-017114.hdr.sgml : 20160928
20160928191554
ACCESSION NUMBER: 0001213900-16-017114
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160928
FILED AS OF DATE: 20160928
DATE AS OF CHANGE: 20160928
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Durham Joann M.
CENTRAL INDEX KEY: 0001685517
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37888
FILM NUMBER: 161908078
MAIL ADDRESS:
STREET 1: 3 BARTRAM COURT
CITY: MOORESTOWN
STATE: NJ
ZIP: 08057
3
1
f3092816joann_tabularasa.xml
OWNERSHIP DOCUMENT
X0206
3
2016-09-28
0
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001685517
Durham Joann M.
3 BARTRAM COURT
MOORESTOWN
NJ
08057
0
0
1
0
Common Stock
803425
I
By husband
Warrant (Common Stock)
0.48
2009-05-01
2019-05-01
Common Stock
12886
D
Warrant (Common Stock)
0.48
2009-05-01
2019-05-01
Common Stock
7731
I
By husband
Warrant (Common Stock)
3.10
2013-05-15
2023-05-15
Common Stock
264
D
Warrant (Common Stock)
3.10
2013-06-15
2023-06-15
Common Stock
660
D
Warrant (Common Stock)
3.10
2013-07-15
2023-07-15
Common Stock
684
D
Warrant (Common Stock)
3.10
2013-08-15
2023-08-15
Common Stock
684
D
Warrant (Common Stock)
3.10
2013-09-15
2023-09-15
Common Stock
661
D
Warrant (Common Stock)
3.10
2013-10-15
2023-10-15
Common Stock
684
D
Warrant (Common Stock)
3.10
2013-11-15
2023-11-15
Common Stock
661
D
Warrant (Common Stock)
3.10
2013-12-15
2023-12-15
Common Stock
684
D
Warrant (Common Stock)
5.82
2014-01-15
2024-01-15
Common Stock
364
D
Warrant (Common Stock)
5.82
2014-02-15
2024-02-15
Common Stock
329
D
Warrant (Common Stock)
5.82
2014-03-15
2024-03-15
Common Stock
364
D
Warrant (Common Stock)
5.82
2014-04-15
2024-04-15
Common Stock
353
D
Warrant (Common Stock)
5.82
2014-05-15
2024-05-15
Common Stock
364
D
Warrant (Common Stock)
5.82
2014-06-15
2024-06-15
Common Stock
353
D
Warrant (Common Stock)
5.82
2014-07-15
2024-07-15
Common Stock
364
D
Warrant (Common Stock)
5.82
2014-08-15
2024-08-15
Common Stock
364
D
Warrant (Common Stock)
5.82
2014-09-15
2024-09-15
Common Stock
353
D
Warrant (Common Stock)
5.82
2014-10-15
2024-10-15
Common Stock
364
D
Warrant (Common Stock)
5.82
2014-11-15
2024-11-15
Common Stock
353
D
Warrant (Common Stock)
5.82
2014-12-15
2024-12-15
Common Stock
90
D
Warrants expire on the earlier of the date stated or the date of the closing of the Issuer's initial public offering.
/s/ Joann M. Durham
2016-09-28