0001179110-18-014284.txt : 20181227 0001179110-18-014284.hdr.sgml : 20181227 20181227163101 ACCESSION NUMBER: 0001179110-18-014284 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181224 FILED AS OF DATE: 20181227 DATE AS OF CHANGE: 20181227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Knowlton Calvin H CENTRAL INDEX KEY: 0001685833 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 181254994 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 2018-12-24 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001685833 Knowlton Calvin H 228 STRAWBRIDGE DRIVE SUITE 100 MOORESTOWN NJ 08057 1 1 0 0 Chief Executive Officer Common Stock 2018-12-24 5 G 0 E 50300 0 D 778071 I Held by spouse. Common Stock 2018-12-24 5 G 0 E 10000 0 A 10000 I Held by trust for children. Common Stock 2018-12-24 5 G 0 E 10000 0 A 10000 I Held by trust for children. Common Stock 852419 D The transaction reported in this Form 4 involved a gift of securities by the Orsula V. Knowlton, including a gift of 20,000 to be held in trusts for the benefit of the reporting person's children, who share the reporting person's household. The reporting person disclaims beneficial ownership of these securities, and this report should not be deemed an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. This bona fide gift of securities is exempt, pursuant to Rule 16b-5, from the short-swing profit recapture rule under 16(b) of the Securities Exchange Act of 1934, as amended. /s/ Brian W. Adams, Attorney-in-fact 2018-12-27