0001179110-21-004471.txt : 20210416
0001179110-21-004471.hdr.sgml : 20210416
20210416185352
ACCESSION NUMBER: 0001179110-21-004471
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210414
FILED AS OF DATE: 20210416
DATE AS OF CHANGE: 20210416
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: 21832666
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
2021-04-14
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
2021-04-14
4
M
0
738
15.16
A
729198
D
Common Stock
2021-04-14
4
M
0
738
15.16
A
849070
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)
15.16
2021-04-14
4
A
0
738
0.00
A
2022-03-10
Common Stock
738
0
D
Employee Stock Option (right to buy)
15.16
2021-04-14
4
A
0
738
0.00
A
2022-03-10
Common Stock
738
0
I
Held by spouse.
The Stock Option vested 25% on March 10, 2018 and in equal 1/36th installments each month thereafter.
/s/ Brian W. Adams, by Power of Attorney
2021-04-16