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