0001179110-22-001151.txt : 20220214 0001179110-22-001151.hdr.sgml : 20220214 20220214165859 ACCESSION NUMBER: 0001179110-22-001151 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Knowlton Calvin H CENTRAL INDEX KEY: 0001685833 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 22634116 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 5 1 edgar.xml FORM 5 - X0306 5 2021-12-31 0 0 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001685833 Knowlton Calvin H 228 STRAWBRIDGE DRIVE SUITE 100 MOORESTOWN NJ 08057 1 1 0 0 Chief Executive Officer Common Stock 2021-08-26 5 G 0 7370 0 D 295496 I By spouse. Common Stock 2021-09-29 5 G 0 25000 0 D 270496 I By spouse. Common Stock 370347 D Common Stock 20000 I Held by trust for children. Common Stock 20000 I Held by trust for children. /s/ Brian W. Adams, by Power of Attorney 2022-02-14