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