144 0001677297 XXXXXXXX LIVE 0001668397 Medpace Holdings, Inc. 001-37856 5375 MEDPACE WAY CINCINNATI OH 45227 (513) 579-9911 EWALD STEPHEN P Officer Common Fidelity Brokerage Services LLC

900 Salem Street Smithfield RI 02917

3000 1350000.00 28093026 07/28/2025 NASDAQ Common 02/28/2024 Restricted Stock Vesting Issuer N 1823 02/28/2024 Compensation Common 05/06/2022 Stock Option Exercise Issuer N 1000 05/06/2022 Cash Common 10/27/2020 Stock Option Exercise Issuer N 177 10/27/2020 Cash Y 07/28/2025 /s/ Gerardo Ibarra-Munoz, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Stephen P. Ewald