0001179110-20-008971.txt : 20200812
0001179110-20-008971.hdr.sgml : 20200812
20200812202254
ACCESSION NUMBER: 0001179110-20-008971
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 Orsula V
CENTRAL INDEX KEY: 0001685832
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37888
FILM NUMBER: 201096779
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
0001685832
Knowlton Orsula V
228 STRAWBRIDGE DRIVE
SUITE 100
MOORESTOWN
NJ
08057
1
1
0
0
President
Common Stock
2020-08-10
4
M
0
36723
3.42
A
756424
D
Common Stock
2020-08-10
4
F
0
16037
48.03
D
740387
D
Common Stock
2020-08-10
4
M
0
36723
3.42
A
791392
I
Held by spouse.
Common Stock
2020-08-10
4
M
0
58600
15.65
A
849992
I
Held by spouse.
Common Stock
2020-08-10
4
M
0
73972
15.15
A
923964
I
Held by spouse.
Common Stock
2020-08-10
4
F
0
93943
48.03
D
830021
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)
3.42
2020-08-10
4
M
0
36723
0
D
2023-06-28
Common Stock
36723
0
I
Held by spouse.
Employee Stock Option (right to buy)
15.65
2020-08-10
4
M
0
58600
0
D
2026-10-21
Common Stock
58600
0
I
Held by spouse.
Employee Stock Option (right to buy)
15.15
2020-08-10
4
M
0
73972
0
D
2027-03-10
Common Stock
73972
12628
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