0001104659-16-151811.txt : 20161025 0001104659-16-151811.hdr.sgml : 20161025 20161025094745 ACCESSION NUMBER: 0001104659-16-151811 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161021 FILED AS OF DATE: 20161025 DATE AS OF CHANGE: 20161025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tabula Rasa HealthCare, Inc. CENTRAL INDEX KEY: 0001651561 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 465726437 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 BUSINESS PHONE: 866-648-2767 MAIL ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TUNSTALL GORDON CENTRAL INDEX KEY: 0001219799 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 161949456 4 1 a4.xml 4 X0306 4 2016-10-21 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001219799 TUNSTALL GORDON 228 STRAWBRIDGE DRIVE, SUITE 100 MOORESTOWN NJ 08057 1 0 0 0 Employee Stock Option (right to buy) 14.23 2016-10-21 4 A 0 7500 0 A 2026-10-21 Common Stock 7500 7500 D One-third of the option award will vest on October 21, 2017 and in equal 1/36th installments each month thereafter. /s/ Brian W. Adams, Attorney-in-fact 2016-10-25