0001415889-23-015127.txt : 20231114 0001415889-23-015127.hdr.sgml : 20231114 20231114205734 ACCESSION NUMBER: 0001415889-23-015127 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231103 FILED AS OF DATE: 20231114 DATE AS OF CHANGE: 20231114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schweitzer Pamela CENTRAL INDEX KEY: 0001766591 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 231408847 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 form4-11152023_011127.xml X0508 4 2023-11-03 1 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001766591 Schweitzer Pamela 228 STRAWBRIDGE DRIVE SUITE 100 MOORESTOWN NJ 08057 true false false false 0 Common Stock 2023-11-03 4 D 0 53579 D 25641 D Common Stock 2023-11-03 4 D 0 25641 D 0 D Common Stock 2023-11-03 4 D 0 9784 D 0 I By Schweitzer Family Trust Upon the consummation of the merger (the "Merger") contemplated by that certain Agreement and Plan of Merger, by and among Tabula Rasa HealthCare, Inc. (the "Company"), Locke Buyer, LLC and Locke Merger Sub, Inc., dated August 5, 2023 (the "Merger Agreement"), 53,579 shares of common stock of the Company ("Common Stock") were converted into the right to receive a cash payment of $562,579.50, representing the product obtained by multiplying (x) the number of shares of Common Stock owned by the reporting person, by (y) the offer price ($10.50). Upon the consummation of the Merger, pursuant to the Merger Agreement, 25,641 unvested restricted stock awards ("RSAs") were cancelled and converted into the right to receive a cash payment of $269,230.50, representing the product obtained by multiplying (x) the aggregate number of shares of Common Stock underlying the RSAs, by (y) the offer price ($10.50). Upon the consummation of the Merger, pursuant to the Merger Agreement, 9,784 shares of Common Stock were converted into the right to receive a cash payment of $102,732, representing the product obtained by multiplying (x) aggregate number of shares of Common Stock indirectly owned by the reporting person, by (y) the offer price ($10.50). /s/ Brian W. Adams, by Power of Attorney 2023-11-14