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