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