0001179110-17-015267.txt : 20171212
0001179110-17-015267.hdr.sgml : 20171212
20171212190038
ACCESSION NUMBER: 0001179110-17-015267
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171208
FILED AS OF DATE: 20171212
DATE AS OF CHANGE: 20171212
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: 171252777
MAIL ADDRESS:
STREET 1: RADIUS VENTURE PARTNERS II LLC
STREET 2: 400 MADISON AVE 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
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
2017-12-08
0
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001335280
LUBIN DANIEL C
250 PARK AVENUE
SUITE 1102
NEW YORK
NY
10177
1
0
1
0
Common Stock
2017-12-08
4
S
0
51896
D
137605
I
By Radius Venture Partners III (Ohio), L.P.
Common Stock
2017-12-08
4
S
0
413210
D
1095654
I
By Radius Venture Partners III QP, L.P.
Common Stock
2017-12-08
4
S
0
37894
D
100477
I
By Radius Venture Partners III, L.P.
Common Stock
2017-12-11
4
S
0
15888
D
121717
I
By Radius Venture Partners III (Ohio), L.P.
Common Stock
2017-12-11
4
S
0
126510
D
969144
I
By Radius Venture Partners III QP, L.P.
Common Stock
2017-12-11
4
S
0
11602
D
88875
I
By Radius Venture Partners III, L.P.
Common Stock
5565
D
Represents shares of the issuer's common stock sold in an underwritten public offering completed on December 8, 2017 at a public offering price of $25.85 per common share, after deducting underwriting discounts and commissions of $1.65 per share.
Represents shares of the issuer's common stock sold upon the exercise of the underwriters' over-allotment option in an underwritten public offering completed on December 11, 2017 at a public offering price of $25.85 per common share, after deducting underwriting discounts and commissions of $1.65 per share.
These securities are held directly by Radius Venture Partners III (Ohio), L.P. and indirectly by Radius Venture Partners III, LLC, the general partner of Radius Venture Partners III (Ohio), L.P., Jordan S. Davis, managing member of Radius Venture Partners III, LLC, and Daniel C. Lubin, managing member of Radius Venture Partners III, LLC. Mr. Lubin, a director of the Issuer, and Mr. Davis share voting and dispositive power with respect to the shares held by Radius Venture Partners III (Ohio), L.P. Each of Radius Venture Partners III, LLC, Mr. Davis, and Mr. Lubin may be deemed to beneficially own such securities, and disclaims such beneficial ownership except to the extent of its or his pecuniary interest therein.
These securities are held directly by Radius Venture Partners III QP, L.P and indirectly by Radius Venture Partners III, LLC, the general partner of Radius Venture Partners III QP, L.P., Jordan S. Davis, managing member of Radius Venture Partners III, LLC, and Daniel C. Lubin, managing member of Radius Venture Partners III, LLC. Mr. Lubin, a director of the Issuer, and Mr. Davis share voting and dispositive power with respect to the shares held by Radius Venture Partners III QP, L.P. Each of Radius Venture Partners III, LLC, Mr. Davis, and Mr. Lubin may be deemed to beneficially own such securities, and disclaims such beneficial ownership except to the extent of its or his pecuniary interest therein.
These securities are held directly by Radius Venture Partners III, L.P., and indirectly by Radius Venture Partners III, LLC, the general partner of Radius Venture Partners III, L.P., Jordan S. Davis, managing member of Radius Venture Partners III, LLC, and Daniel C. Lubin, managing member of Radius Venture Partners III, LLC. Mr. Lubin, a director of the Issuer, and Mr. Davis share voting and dispositive power with respect to the shares held by Radius Venture Partners III, L.P. Each of Radius Venture Partners III, LLC, Mr. Davis, and Mr. Lubin may be deemed to beneficially own such securities, and disclaims such beneficial ownership except to the extent of its or his pecuniary interest therein.
/s/ Daniel C. Lubin
2017-12-12