0001104659-16-148645.txt : 20161004
0001104659-16-148645.hdr.sgml : 20161004
20161004170436
ACCESSION NUMBER: 0001104659-16-148645
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161004
FILED AS OF DATE: 20161004
DATE AS OF CHANGE: 20161004
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Tabula Rasa HealthCare, Inc.
CENTRAL INDEX KEY: 0001651561
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 465726437
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 228 STRAWBRIDGE DRIVE
STREET 2: SUITE 100
CITY: MOORESTOWN
STATE: NJ
ZIP: 08057
BUSINESS PHONE: 866-648-2767
MAIL ADDRESS:
STREET 1: 228 STRAWBRIDGE DRIVE
STREET 2: SUITE 100
CITY: MOORESTOWN
STATE: NJ
ZIP: 08057
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Durham John R.
CENTRAL INDEX KEY: 0001685612
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37888
FILM NUMBER: 161919881
MAIL ADDRESS:
STREET 1: 3 BARTRAM COURT
CITY: MOORESTOWN
STATE: NJ
ZIP: 08057
4
1
a4.xml
4
X0306
4
2016-10-04
1
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001685612
Durham John R.
228 STRAWBERRY DRIVE, SUITE 100
MOORESTOWN
NJ
08057
0
0
1
0
Common Stock
2016-10-04
4
X
0
20617
0.48
A
824284
D
Common Stock
2016-10-04
4
X
0
264
3.10
A
824548
D
Common Stock
2016-10-04
4
X
0
660
3.10
A
825208
D
Common Stock
2016-10-04
4
X
0
684
3.10
A
825892
D
Common Stock
2016-10-04
4
X
0
684
3.10
A
826576
D
Common Stock
2016-10-04
4
X
0
661
3.10
A
827237
D
Common Stock
2016-10-04
4
X
0
684
3.10
A
827921
D
Common Stock
2016-10-04
4
X
0
661
3.10
A
828582
D
Common Stock
2016-10-04
4
X
0
684
3.10
A
829266
D
Common Stock
2016-10-04
4
X
0
364
5.82
A
829630
D
Common Stock
2016-10-04
4
X
0
329
5.82
A
829959
D
Common Stock
2016-10-04
4
X
0
364
5.82
A
830323
D
Common Stock
2016-10-04
4
X
0
353
5.82
A
830676
D
Common Stock
2016-10-04
4
X
0
364
5.82
A
831040
D
Common Stock
2016-10-04
4
X
0
353
5.82
A
831393
D
Common Stock
2016-10-04
4
X
0
364
5.82
A
831757
D
Common Stock
2016-10-04
4
X
0
364
5.82
A
832121
D
Common Stock
2016-10-04
4
X
0
353
5.82
A
832474
D
Common Stock
2016-10-04
4
X
0
364
5.82
A
832838
D
Common Stock
2016-10-04
4
X
0
353
5.82
A
833191
D
Common Stock
2016-10-04
4
X
0
90
5.82
A
833281
D
Common Stock
2016-10-04
4
X
0
4070
12.00
D
829211
D
Warrant (Right to Buy)
0.48
2016-10-04
4
M
0
20617
0
D
2009-05-01
2019-05-01
Common Stock
20617
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
264
0
D
2013-05-15
2023-05-15
Common Stock
264
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
660
0
D
2013-06-15
2023-06-15
Common Stock
660
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
684
0
D
2013-07-15
2023-07-15
Common Stock
684
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
684
0
D
2013-08-15
2023-08-15
Common Stock
684
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
661
0
D
2013-09-15
2023-09-15
Common Stock
661
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
684
0
D
2013-10-15
2023-10-15
Common Stock
684
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
661
0
D
2013-11-15
2023-11-15
Common Stock
661
0
D
Warrant (Right to Buy)
3.10
2016-10-04
4
M
0
684
0
D
2013-12-15
2023-12-15
Common Stock
684
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
364
0
D
2014-01-15
2024-01-15
Common Stock
364
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
329
0
D
2014-02-15
2024-02-15
Common Stock
329
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
364
0
D
2014-03-15
2024-03-15
Common Stock
364
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
353
0
D
2014-04-15
2024-04-15
Common Stock
353
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
364
0
D
2014-05-15
2024-05-15
Common Stock
364
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
353
0
D
2014-06-15
2024-06-15
Common Stock
353
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
364
0
D
2014-07-15
2024-07-15
Common Stock
364
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
364
0
D
2014-08-15
2024-08-15
Common Stock
364
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
353
0
D
2014-09-15
2024-09-15
Common Stock
353
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
364
0
D
2014-10-15
2024-10-15
Common Stock
364
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
353
0
D
2014-11-15
2024-11-15
Common Stock
353
0
D
Warrant (Right to Buy)
5.82
2016-10-04
4
M
0
90
0
D
2014-12-15
2024-12-15
Common Stock
90
0
D
The Form 3 filed on September 28, 2016 for the Reporting Person reported that he directly owned 803,425 shares of common stock, however the Reporting Person owned 803,667 shares of common stock. The additional 242 shares not previously reported have been included in the above given totals.
/s/ John R. Durham
2016-10-04