0001179110-18-000932.txt : 20180117
0001179110-18-000932.hdr.sgml : 20180117
20180117183509
ACCESSION NUMBER: 0001179110-18-000932
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180112
FILED AS OF DATE: 20180117
DATE AS OF CHANGE: 20180117
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: 18532533
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
2018-01-12
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
Common Stock
2018-01-12
4
M
0
10309
1.56
A
81826
D
Common Stock
2018-01-12
4
M
0
6701
1.56
A
88527
D
Common Stock
2018-01-12
4
M
0
2577
1.56
A
91104
D
Common Stock
2018-01-12
4
M
0
1288
1.56
A
92392
D
Common Stock
2018-01-12
4
M
0
8442
2.14
A
100834
D
Common Stock
2018-01-12
4
M
0
7731
3.11
A
108565
D
Common Stock
2018-01-12
4
M
0
675
3.11
A
109240
D
Common Stock
2018-01-12
4
M
0
263
5.82
A
109503
D
Common Stock
2018-01-12
4
M
0
10309
5.82
A
119812
D
Common Stock
2018-01-12
4
M
0
7731
5.82
A
127543
D
Common Stock
2018-01-12
4
M
0
625
5.82
A
128168
D
Common Stock
2018-01-12
4
P
0
5391
14.23
A
133559
D
Common Stock
2018-01-12
4
F
0
8002
32.95
D
125557
D
Employee Stock Option (right to buy)
1.56
2018-01-12
4
M
0
10309
0
D
2021-10-20
Common Stock
10309
0
D
Employee Stock Option (right to buy)
1.56
2018-01-12
4
M
0
6701
0
D
2022-01-06
Common Stock
6701
0
D
Employee Stock Option (right to buy)
1.56
2018-01-12
4
M
0
2577
0
D
2012-01-06
2022-01-06
Common Stock
2577
0
D
Employee Stock Option (right to buy)
1.56
2018-01-12
4
M
0
1288
0
D
2012-03-01
2022-03-01
Common Stock
1288
0
D
Employee Stock Option (right to buy)
2.14
2018-01-12
4
M
0
8442
0
D
2012-12-20
2022-12-20
Common Stock
8442
0
D
Employee Stock Option (right to buy)
3.11
2018-01-12
4
M
0
7731
0
D
2023-01-02
Common Stock
7731
0
D
Employee Stock Option (right to buy)
3.11
2018-01-12
4
M
0
675
0
D
2013-01-22
2023-01-22
Common Stock
675
0
D
Employee Stock Option (right to buy)
5.82
2018-01-12
4
M
0
263
0
D
2014-01-01
2024-01-01
Common Stock
263
0
D
Employee Stock Option (right to buy)
5.82
2018-01-12
4
M
0
10309
0
D
2024-01-01
Common Stock
10309
0
D
Employee Stock Option (right to buy)
5.82
2018-01-12
4
M
0
7731
0
D
2025-01-01
Common Stock
7731
2578
D
Employee Stock Option (right to buy)
5.82
2018-01-12
4
M
0
625
0
D
2025-02-01
Common Stock
625
0
D
Employee Stock Option (right to buy)
14.23
2018-01-12
4
M
0
5391
0
D
2026-10-21
Common Stock
5391
29609
D
The Stock Option vested 25% on October 20, 2012 and in equal 1/36th installments each month thereafter.
The Stock Option vested 25% on January 6, 2013 and in equal 1/36th installments each month thereafter.
The Stock Option vested 25% on January 2, 2014 and in equal 1/36th installments each month thereafter.
The Stock Option vested 25% on January 1, 2015 and in equal 1/36th installments each month thereafter.
The Stock Option vested 25% on January 1, 2016 and vests in equal 1/36th installments each month thereafter.
Previous disclosure stated that the Stock Option vested 25% on February 1, 2016 and vests in equal 1/36th installments each month thereafter. Notwithstanding the foregoing, the Stock Option actually vested immediately.
The Stock Option vested one-third on October 21, 2017 and in equal 1/24th installments each month thereafter.
/s/ Brian W. Adams
2018-01-17