0001179110-17-013634.txt : 20171101 0001179110-17-013634.hdr.sgml : 20171101 20171101190800 ACCESSION NUMBER: 0001179110-17-013634 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171030 FILED AS OF DATE: 20171101 DATE AS OF CHANGE: 20171101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Beckwith Samira CENTRAL INDEX KEY: 0001714361 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 171170284 MAIL ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 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 4 1 edgar.xml FORM 4 - X0306 4 2017-10-30 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001714361 Beckwith Samira 228 STRAWBRIDGE DRIVE SUITE 100 MOORESTOWN NJ 08057 1 0 0 0 Common Stock 2017-10-30 4 A 0 5192 0.00 A 5192 D Common Stock 2017-10-30 4 A 0 2596 0.00 A 7788 D Dr. Beckwith received a restricted stock award of 5,192 shares of the Company's common stock on October 30, 2017. Such common stock will vest in three equal annual installments on August 3, 2018, August 3, 2019 and August 3, 2020. Dr. Beckwith received a restricted stock award of 2,596 shares of the Company's common stock on October 30, 2017. Such common stock vests in full on the earlier of the next annual shareholder meeting or August 3, 2018. /s/ Brian W. Adams, Attorney-in-Fact 2017-11-01