0001179110-18-013291.txt : 20181129 0001179110-18-013291.hdr.sgml : 20181129 20181129170229 ACCESSION NUMBER: 0001179110-18-013291 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181127 FILED AS OF DATE: 20181129 DATE AS OF CHANGE: 20181129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Knowlton Orsula V CENTRAL INDEX KEY: 0001685832 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 181209076 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 2018-11-27 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001685832 Knowlton Orsula V 228 STRAWBRIDGE DRIVE SUITE 100 MOORESTOWN NJ 08057 1 1 0 0 President Common Stock 2018-11-27 4 M 0 9020 6.41 A 840661 D Common Stock 2018-11-27 4 M 0 9020 6.41 A 856129 I Held by spouse. Employee Stock Option (right to buy) 6.41 2018-11-27 4 M 0 9020 0.00 D 2019-01-01 Common Stock 9020 0 D Employee Stock Option (right to buy) 6.41 2018-11-27 4 M 0 9020 0.00 D 2019-01-01 Common Stock 9020 0 I Held by spouse. This stock option represented the right to purchase a total of 36,082 shares of common stock, 27,062 of which were previously exercised. The stock option vested 25% on January 1, 2015 and in equal 1/36th installments each month thereafter. This stock option represented the right to purchase a total of 36,082 shares of common stock, 27,062 of which were previously exercised. The stock option vested 25% on January 1, 2015 and in equal 1/36th installments each month thereafter. /s/ Brian W. Adams, by Power of Attorney 2018-11-29