0001628908-24-000042.txt : 20240305
0001628908-24-000042.hdr.sgml : 20240305
20240305192431
ACCESSION NUMBER: 0001628908-24-000042
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: Glass Russell Monroe
CENTRAL INDEX KEY: 0002012340
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37415
FILM NUMBER: 24723581
MAIL ADDRESS:
STREET 1: 1812 N. MOORE ST. SUITE 1705
CITY: ARLINGTON
STATE: VA
ZIP: 22209
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_1709684662.xml
FORM 4
X0508
4
2024-03-01
0
0001628908
Evolent Health, Inc.
EVH
0002012340
Glass Russell Monroe
C/O EVOLENT HEALTH, INC.
1812 N. MOORE ST., STE. 1705
ARLINGTON
VA
22209
1
0
0
0
0
Class A Common Stock
2024-03-01
4
A
0
1163
0
A
1163
D
Class A Common Stock
6046
I
By trust
Represents restricted stock units granted to Mr. Glass pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation Plan.
Securities vest on the earlier of March 1, 2025 and the date of the Company's 2024 annual meeting, subject to the reporting person's continued service on the vesting date.
These shares are held in a trust for the benefit of the reporting person and his spouse. The reporting person and his spouse are co-trustees of the trust and share voting and dispositive power over the shares.
/s/ Jonathan Weinberg, Attorney-in-fact
2024-03-05