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