0001628908-24-000077.txt : 20240610 0001628908-24-000077.hdr.sgml : 20240610 20240610193629 ACCESSION NUMBER: 0001628908-24-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240606 FILED AS OF DATE: 20240610 DATE AS OF CHANGE: 20240610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRUA PETER J CENTRAL INDEX KEY: 0001242813 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 241034323 MAIL ADDRESS: STREET 1: C/O HLM VENTURE PARTNERS STREET 2: 800 SOUTH STREET, SUITE 200 CITY: WALTHAM STATE: MA ZIP: 02453 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evolent Health, Inc. CENTRAL INDEX KEY: 0001628908 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] ORGANIZATION NAME: 07 Trade & Services 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 wk-form4_1718062582.xml FORM 4 X0508 4 2024-06-06 0 0001628908 Evolent Health, Inc. EVH 0001242813 GRUA PETER J C/O EVOLENT HEALTH, INC. 1812 N. MOORE ST., STE. 1705 ARLINGTON VA 22209 1 0 0 0 0 Class A Common Stock 2024-06-06 4 A 0 7709 0 A 12758 D Class A Common Stock 36870 I By the Peter J. Grua 2004 Revocable Trust Represents restricted stock units granted to Mr. Grua pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation Plan. Securities vest on the earlier of June 6, 2025, and the date of the Company's 2025 annual meeting, subject to the reporting person's continued service on the vesting date. These shares are held in a trust for the sole benefit of the reporting person. The reporting person is the sole trustee of the trust and has sole voting and dispositive power over the shares. /s/ Jonathan Weinberg, Attorney-in-fact 2024-06-10