0001179110-17-015097.txt : 20171207
0001179110-17-015097.hdr.sgml : 20171207
20171207181308
ACCESSION NUMBER: 0001179110-17-015097
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171205
FILED AS OF DATE: 20171207
DATE AS OF CHANGE: 20171207
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: 171245723
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
4
1
edgar.xml
FORM 4 -
X0306
4
2017-12-05
0
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001219799
TUNSTALL GORDON
228 STRAWBRIDGE DRIVE, SUITE 100
MOORESTOWN
NJ
08057
1
0
0
0
Common Stock
2017-12-05
4
M
0
15000
1.56
A
23161
D
Employee Stock Option (right to buy)
1.56
2017-12-05
4
M
0
15000
0
D
2022-03-21
Common Stock
15000
36546
D
The stock option vested 25% on March 21, 2013 and in equal 1/36th installments each month thereafter.
/s/ Brian W. Adams, Attorney-in-fact
2017-12-07