0001628908-24-000038.txt : 20240305 0001628908-24-000038.hdr.sgml : 20240305 20240305191540 ACCESSION NUMBER: 0001628908-24-000038 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: Rafferty Emily Ann CENTRAL INDEX KEY: 0001983577 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37415 FILM NUMBER: 24723529 MAIL ADDRESS: STREET 1: 800 N. GLEBE ROAD STREET 2: 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_1709684130.xml FORM 4 X0508 4 2024-03-01 0 0001628908 Evolent Health, Inc. EVH 0001983577 Rafferty Emily Ann C/O EVOLENT HEALTH, INC. 1812 N. MOORE ST., STE. 1705 ARLINGTON VA 22209 0 1 0 0 Chief Operating Officer 0 Class A Common Stock 2024-03-01 4 A 0 10911 0 A 79318 D Class A Common Stock 2024-03-01 4 F 0 7049 34.41 D 72269 D Represents restricted stock units granted to Ms. Rafferty 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