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