0001628908-24-000032.txt : 20240305 0001628908-24-000032.hdr.sgml : 20240305 20240305190639 ACCESSION NUMBER: 0001628908-24-000032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240301 FILED AS OF DATE: 20240305 DATE AS OF CHANGE: 20240305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blackley Seth CENTRAL INDEX KEY: 0001643346 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 24723458 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] ORGANIZATION NAME: 07 Trade & Services 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 wk-form4_1709683577.xml FORM 4 X0508 4 2024-03-01 0 0001628908 Evolent Health, Inc. EVH 0001643346 Blackley Seth C/O EVOLENT HEALTH, INC. 1812 N. MOORE ST., STE. 1705 ARLINGTON VA 22209 1 1 0 0 Chief Executive Officer 0 Class A Common Stock 2024-03-01 4 A 0 29096 0 A 784387 D Class A Common Stock 2024-03-01 4 F 0 24005 34.41 D 760382 D Represents restricted stock units granted to Mr. Blackley pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation Plan. Securities vest at a rate of 34% on March 1, 2025, and 33% on March 1, 2026, and March 1, 2027. Includes restricted stock units granted under awards reported on Table 1 of Form 4s previously filed with the Securities and Exchange Commission. This number represents shares of Class A Common Stock withheld to satisfy the tax withholding obligation due upon vesting of restricted stock units. /s/ Jonathan Weinberg, Attorney-in-fact 2024-03-05