X0306 4 2016-08-18 0 0001668397 Medpace Holdings, Inc. MEDP 0001622058 Troendle August J. C/O MEDPACE HOLDINGS, INC. 5375 MEDPACE WAY CINCINNATI OH 45227 1 1 1 0 President & CEO COMMON STOCK 2016-08-18 4 P 0 10000 27.98 A 10000 I By son COMMON STOCK 1221416 D COMMON STOCK 9210118 I By Medpace Investors, LLC The Reporting Person is the sole manager and controlling unit holder of Medpace Investors, LLC ("MPI") and has sole voting and investment control with respect to the shares held by MPI. The Reporting Person may be deemed to indirectly beneficially own the securities of the Issuer held by MPI but disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. /s/ Stephen P. Ewald, Attorney-in-Fact for August J. Troendle 2016-08-19