0001179110-21-000974.txt : 20210129 0001179110-21-000974.hdr.sgml : 20210129 20210129183951 ACCESSION NUMBER: 0001179110-21-000974 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210129 FILED AS OF DATE: 20210129 DATE AS OF CHANGE: 20210129 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: 21573400 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 2021-01-29 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 2021-01-29 4 A 0 46875 0.00 A 744460 D Common Stock 2021-01-29 4 A 0 75000 0.00 A 872332 I Held by spouse. Common Stock 20000 I Held by trust for children. Common Stock 20000 I Held by trust for children. Ms. Knowlton received a restricted stock award of 46,875 shares of the Company's common stock on January 29, 2021. Such common stock will vest in four equal annual installments on January 12, 2021, January 12, 2022, January 12, 2023 and January 12, 2024. Mr. Knowlton received a restricted stock award of 75,000 shares of the Company's common stock on January 29, 2021. Such common stock will vest in four equal annual installments on January 12, 2021, January 12, 2022, January 12, 2023 and January 12, 2024. /s/ Brian W. Adams, by Power of Attorney 2021-01-29