144 0001677791 XXXXXXXX LIVE 0001668397 Medpace Holdings, Inc. 001-37856 5375 MEDPACE WAY CINCINNATI OH 45227 (513) 579-9911 Carley Brian T Director Common Fidelity Brokerage Services LLC

900 Salem Street Smithfield RI 02917

5000 3043155.23 27911655 08/19/2026 NASDAQ Common 03/31/2023 Restricted Stock Vesting Issuer N 104 03/31/2023 Compensation Common 06/15/2023 Stock Option Exercise Issuer N 4896 06/15/2023 Cash Y 08/19/2026 /s/ Daniel Tucci, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Brian Carley