X0306 4 2018-08-02 0 0001668397 Medpace Holdings, Inc. MEDP 0001677399 GEIGER JESSE J C/O MEDPACE HOLDINGS, INC. 5375 MEDPACE WAY CINCINNATI OH 45227 0 1 0 0 CFO & COO, Lab Operations Common Stock 2018-08-02 4 S 0 7407 60.15 D 0 D The reported price is a weighted average price. These shares were sold in multiple transactions at prices ranging from $60.15 to $60.28 per share. The Reporting Person undertakes to provide full pricing information to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission upon request. /s/ Stephen P. Ewald, Attorney-in-Fact for Jesse J. Geiger 2018-08-06