0001179110-17-009311.txt : 20170620
0001179110-17-009311.hdr.sgml : 20170620
20170620102852
ACCESSION NUMBER: 0001179110-17-009311
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170616
FILED AS OF DATE: 20170620
DATE AS OF CHANGE: 20170620
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: LUBIN DANIEL C
CENTRAL INDEX KEY: 0001335280
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37888
FILM NUMBER: 17920042
MAIL ADDRESS:
STREET 1: RADIUS VENTURE PARTNERS II LLC
STREET 2: 400 MADISON AVE 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
4
1
edgar.xml
FORM 4 -
X0306
4
2017-06-16
0
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001335280
LUBIN DANIEL C
250 PARK AVENUE
SUITE 1102
NEW YORK
NY
10177
1
0
1
0
Stock Option (right to buy)
13.54
2017-06-16
4
A
0
5193
0.00
A
2027-06-16
Common Stock
5193
5193
D
Mr. Lubin received an option to purchase 5,193 shares of the issuer's common stock on June 16, 2017. One hundred percent (100%) of the shares subject to the option shall vest and become exercisable on the earlier of the date of the next annual meeting of the issuer's stockholders or the one year anniversary of the date of grant, subject to the reporting person's continuing service through such vesting date.
/s/ Brian W. Adams, Attorney-in-fact
2017-06-20