0000950157-17-000718.txt : 20170523
0000950157-17-000718.hdr.sgml : 20170523
20170523181923
ACCESSION NUMBER: 0000950157-17-000718
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170519
FILED AS OF DATE: 20170523
DATE AS OF CHANGE: 20170523
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Evolent Health, Inc.
CENTRAL INDEX KEY: 0001628908
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741]
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Weinberg Jonathan
CENTRAL INDEX KEY: 0001642833
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37415
FILM NUMBER: 17865023
MAIL ADDRESS:
STREET 1: 800 N. GLEBE ROAD, SUITE 500
CITY: ARLINGTON
STATE: VA
ZIP: 22203
4
1
form4.xml
X0306
4
2017-05-19
0001628908
Evolent Health, Inc.
EVH
0001642833
Weinberg Jonathan
C/O EVOLENT HEALTH, INC.
800 N. GLEBE ROAD, SUITE 500
ARLINGTON
VA
22203
true
General Counsel
Class A Common Stock
2017-05-19
4
M
0
17230
3.84
A
33252
D
Class A Common Stock
2017-05-19
4
S
0
17230
24.3
D
16022
D
Class A Common Stock Option (right to buy)
3.84
2017-05-19
4
M
0
17230
0
D
2024-04-01
Class A Common Stock
17230
85431
D
Includes restricted stock units under awards reported on Table 1 of Form 4s previously filed with the Securities and Exchange Commission.
The Class A Common Stock Options exercised vested on February 1, 2015.
/s/ Jonathan Weinberg, Attorney-in-fact
2017-05-23