0001179110-17-007235.txt : 20170515
0001179110-17-007235.hdr.sgml : 20170515
20170515203546
ACCESSION NUMBER: 0001179110-17-007235
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170310
FILED AS OF DATE: 20170515
DATE AS OF CHANGE: 20170515
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: Adams Brian W
CENTRAL INDEX KEY: 0001685747
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37888
FILM NUMBER: 17846781
MAIL ADDRESS:
STREET 1: 228 STRAWBRIDGE DRIVE
STREET 2: SUITE 100
CITY: MOORESTOWN
STATE: NJ
ZIP: 08057
4
1
edgar.xml
FORM 4 -
X0306
4
2017-03-10
0
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001685747
Adams Brian W
228 STRAWBRIDGE DRIVE, SUITE 100
MOORESTOWN
NJ
08057
0
1
0
0
Chief Financial Officer
Employee Stock Option (right to buy)
13.78
2017-03-10
4
A
0
3230
0
A
2027-03-10
Common Stock
3230
3230
D
Employee Stock Option (right to buy)
13.78
2017-03-10
4
A
0
38270
0
A
2027-03-10
Common Stock
38270
38270
D
The Stock Option vests 25% on March 10, 2018 and in equal 1/36th installments each month thereafter.
/s/ Brian W. Adams
2017-05-15