0001415889-22-002486.txt : 20220303 0001415889-22-002486.hdr.sgml : 20220303 20220303212427 ACCESSION NUMBER: 0001415889-22-002486 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220303 FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Beckwith Samira CENTRAL INDEX KEY: 0001714361 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 22711868 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 form4-03032022_060316.xml X0306 4 2022-03-03 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001714361 Beckwith Samira 228 STRAWBRIDGE DRIVE SUITE 100 MOORESTOWN NJ 08057 true false false false Common Stock 2022-03-03 4 A 0 3189 0 A 16024 D The reporting person has elected to receive fully vested shares of common stock of Tabula Rasa HealthCare Inc. (the "Company") in lieu of cash retainer fees payable for service on the Company's Board of Directors and any committees thereof. The number of shares issued represents the quotient of (A) the amount of such fees divided by (B) the average closing price of the Company's common stock on the five trading days preceding the date such fees would otherwise be paid, rounded up to the nearest whole share. /s/ Brian W. Adams, by Power of Attorney 2022-03-03