0001415889-22-008233.txt : 20220803
0001415889-22-008233.hdr.sgml : 20220803
20220803214929
ACCESSION NUMBER: 0001415889-22-008233
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220801
FILED AS OF DATE: 20220803
DATE AS OF CHANGE: 20220803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Knowlton Calvin H
CENTRAL INDEX KEY: 0001685833
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37888
FILM NUMBER: 221134369
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
form4-08032022_060820.xml
X0306
4
2022-08-01
0001651561
Tabula Rasa HealthCare, Inc.
TRHC
0001685833
Knowlton Calvin H
228 STRAWBRIDGE DRIVE
SUITE 100
MOORESTOWN
NJ
08057
true
true
true
false
CHIEF EXECUTIVE OFFICER
Common Stock
2022-08-01
4
A
0
325000
0
A
695347
D
Common Stock
2022-08-01
4
A
0
200000
0
A
470496
I
Held by spouse.
Common Stock
20000
I
Held by trust for children.
Common Stock
20000
I
Held by trust for children.
The Reporting Person received a restricted stock award of 325,000 shares of the Company's common stock on August 1, 2022. Such common stock will vest in four equal annual installments on January 2, 2023, January 2, 2024, January 2, 2025 and January 2, 2026.
Dr. Orsula Knowlton, the Reporting Person's spouse, received a restricted stock award of 200,000 shares of the Company's common stock on August 1, 2022. Such common stock will vest in four equal annual installments on January 2, 2023, January 2, 2024, January 2, 2025 and January 2, 2026.
/s/ Brian W. Adams, by Power of Attorney
2022-08-03