0001179110-20-008967.txt : 20200812
0001179110-20-008967.hdr.sgml : 20200812
20200812201010
ACCESSION NUMBER: 0001179110-20-008967
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200810
FILED AS OF DATE: 20200812
DATE AS OF CHANGE: 20200812
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Knowlton Orsula V
CENTRAL INDEX KEY: 0001685832
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37888
FILM NUMBER: 201096748
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
3/A
1
edgar.xml
FORM 3/A -
X0206
3/A
2020-08-10
2016-09-28
0
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001685832
Knowlton Orsula V
228 STRAWBRIDGE DRIVE
SUITE 100
MOORESTOWN
NJ
08057
1
1
0
0
President
Employee Stock Option (right to buy)
3.42
2023-06-28
Common Stock
293784
D
Employee Stock Option (right to buy)
3.42
2023-06-28
Common Stock
293784
I
Held by spouse.
Employee Stock Option (right to buy)
5.82
2025-01-01
Common Stock
21432
D
Employee Stock Option (right to buy)
5.82
2025-01-01
Common Stock
21432
I
Held by spouse.
Employee Stock Option (right to buy)
5.82
2025-01-01
Common Stock
14650
D
Employee Stock Option (right to buy)
5.82
2025-01-01
Common Stock
14650
I
Held by spouse.
Employee Stock Option (right to buy)
5.82
2015-02-01
2025-02-01
Common Stock
1662
D
Employee Stock Option (right to buy)
5.82
2015-02-01
2025-02-01
Common Stock
1860
I
Held by spouse.
The Stock Option vests 25% on June 28, 2014 and in equal 1/36th installments each month thereafter.
Prior disclosure stated the Expiration Date of this Stock Option was June 28, 2018. Notwithstanding the foregoing, the Expiration Date of this Stock Option is June 28, 2023.
Prior disclosure stated the Exercise Price of this Stock Option was $3.41. Notwithstanding the foregoing, the Exercise Price of this Stock Option is $3.42.
The Stock Option vests 25% on January 1, 2015 and in equal 1/36th installments each month thereafter.
Prior disclosure stated the number of shares of Common Stock subject to this Stock Option was 36,082. Notwithstanding the foregoing, the number of shares of Common Stock subject to this Stock Option was 21,432. The Company made a separate grant of a Stock Option for 14,650 shares of Common Stock that was omitted from the reporting person's original Form 3.
Prior disclosure stated the Exercise Price of this Stock Option was $6.40. Notwithstanding the foregoing, the Exercise Price of this Stock Option is $5.82.
Prior disclosure stated the number of shares of Common Stock subject to this Stock Option was 36,082. Notwithstanding the foregoing, the number of shares of Common Stock subject to this Stock Option was 21,432. The Company made a separate grant of a Stock Option for 14,650 shares of Common Stock that was omitted from the Dr. Calvin H. Knowlton's original Form 3.
This Stock Option was omitted from the reporting person's original Form 3.
This Stock Option was omitted from the Dr. Calvin H. Knowlton's original Form 3.
Prior disclosure stated the Expiration Date of this Stock Option was February 1, 2020. Notwithstanding the foregoing, the Expiration Date of this Stock Option is February 1, 2025.
Prior disclosure stated the Expiration Date of this Stock Option was January 1, 2020. Notwithstanding the foregoing, the Expiration Date of this Stock Option is January 1, 2025.
/s/ Brian W. Adams, by Power of Attorney
2020-08-12