0001628908-17-000037.txt : 20170726 0001628908-17-000037.hdr.sgml : 20170726 20170726164350 ACCESSION NUMBER: 0001628908-17-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170724 FILED AS OF DATE: 20170726 DATE AS OF CHANGE: 20170726 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peterson Thomas III CENTRAL INDEX KEY: 0001643498 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 17983440 MAIL ADDRESS: STREET 1: 800 N. GLEBE ROAD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-07-24 0 0001628908 Evolent Health, Inc. EVH 0001643498 Peterson Thomas III C/O EVOLENT HEALTH, INC. 800 N. GLEBE ROAD, SUITE 500 ARLINGTON VA 22203 0 1 0 0 Chief Operating Officer Class A Common Stock 2017-07-24 4 M 0 14033 3.84 A 153318 D Class A Common Stock 2017-07-24 4 S 0 14033 26 D 139285 D Class A Common Stock 2017-07-24 4 S 0 26507 26 D 112778 D Class A Common Stock Option (right to buy) 3.84 2017-07-24 4 M 0 14033 0 D 2024-04-01 Class A Common Stock 14033 178274 D The transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on May 24, 2017. Includes restricted stock units under awards reported on Table 1 of Form 4s previously filed with the Securities and Exchange Commission. The price reported in Column 4 is a weighted average. These shares were sold in multiple transactions at prices ranging from $26.00-$26.025, inclusive. The reporting person undertakes to provide to Evolent Health, Inc., any security holder of Evolent Health, Inc., or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The price reported in Column 4 is a weighted average. These shares were sold in multiple transactions at prices ranging from $26.00-$26.025, inclusive. The reporting person undertakes to provide to Evolent Health, Inc., any security holder of Evolent Health, Inc., or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The Class A Common Stock Options vested on December 1, 2014. /s/ Jonathan Weinberg, Attorney- in-fact 2017-07-26