0001179110-20-008969.txt : 20200812 0001179110-20-008969.hdr.sgml : 20200812 20200812201614 ACCESSION NUMBER: 0001179110-20-008969 CONFORMED SUBMISSION TYPE: 4 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 Calvin H CENTRAL INDEX KEY: 0001685833 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 201096760 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 2020-08-10 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 2020-08-10 4 M 0 36723 3.42 A 795682 D Common Stock 2020-08-10 4 M 0 58600 15.65 A 854282 D Common Stock 2020-08-10 4 M 0 73972 15.15 A 928254 D Common Stock 2020-08-10 4 F 0 93943 48.03 D 834311 D Common Stock 2020-08-10 4 M 0 36723 3.42 A 752134 I Held by spouse. Common Stock 2020-08-10 4 F 0 16037 48.03 D 736097 I Held by spouse. Common Stock 20000 I Held by trust for children. Common Stock 20000 I Held by trust for children. Employee Stock Option (right to buy) 3.42 2020-08-10 4 M 0 36723 0 D 2023-06-28 Common Stock 36723 0 D Employee Stock Option (right to buy) 15.65 2020-08-10 4 M 0 58600 0 D 2026-10-21 Common Stock 58600 0 D Employee Stock Option (right to buy) 15.15 2020-08-10 4 M 0 73972 0 D 2027-03-10 Common Stock 73972 12628 D Employee Stock Option (right to buy) 3.42 2020-08-10 4 M 0 36723 0 D 2023-06-28 Common Stock 36723 0 I Held by spouse. The Stock Option vested 25% on June 28, 2014, and in equal 1/36th installments each month thereafter. The Stock Option vested 33.33% on the first anniversary of grant, and in equal 1/24th installments each month thereafter. The Stock Option vested 25% on the first anniversary of grant, and vests in equal 1/36th installments each month thereafter. /s/ Brian W. Adams, by Power of Attorney 2020-08-12