0001628908-22-000054.txt : 20220310 0001628908-22-000054.hdr.sgml : 20220310 20220310202710 ACCESSION NUMBER: 0001628908-22-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220302 FILED AS OF DATE: 20220310 DATE AS OF CHANGE: 20220310 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILLIAMS FRANK J CENTRAL INDEX KEY: 0001204938 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 22730865 MAIL ADDRESS: STREET 1: 800 NORTH GLEBE ROAD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evolent Health, Inc. CENTRAL INDEX KEY: 0001628908 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 320454912 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 NORTH GLEBE RD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 BUSINESS PHONE: 571-389-6000 MAIL ADDRESS: STREET 1: 800 NORTH GLEBE RD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 4 1 wf-form4_164696201693474.xml FORM 4 X0306 4 2022-03-02 0 0001628908 Evolent Health, Inc. EVH 0001204938 WILLIAMS FRANK J C/O EVOLENT HEALTH, INC. 800 NORTH GLEBE ROAD, SUITE 500 ARLINGTON VA 22203 1 0 0 0 Class A Common Stock 2022-03-02 4 M 0 382489 0 A 940298 D Class A Common Stock 2022-03-03 4 F 0 189568 27.54 D 750730 D Class A Common Stock 66064 I See footnote Leveraged Restricted Stock Unit 0.0 2022-03-02 4 M 0 382489 0 D Class A Common Stock 382489.0 0 D Represents the vesting of the leveraged stock units granted to Mr. Williams on March 1, 2019, based on the cumulative performance of the Issuer's Class A Common Stock. Includes restricted stock units granted under awards reported on Table I of Form 4s previously filed with the Securities and Exchange Commission. This number represents shares of Class A Common Stock withheld to satisfy the tax withholding obligation due upon vesting of leveraged stock units. Shares held of record by the Frank Williams Irrevocable Trust. Mr. Williams serves as the Trustee of the Frank Williams Irrevocable Trust. Leveraged Stock Units vested on March 2, 2022. These Leveraged Stock Units do not expire. /s/ Jonathan Weinberg, Attorney-in-fact 2022-03-10