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