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