0001179110-17-015258.txt : 20171212 0001179110-17-015258.hdr.sgml : 20171212 20171212165748 ACCESSION NUMBER: 0001179110-17-015258 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171208 FILED AS OF DATE: 20171212 DATE AS OF CHANGE: 20171212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GAUSLING MICHAEL J CENTRAL INDEX KEY: 0001125761 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 171252322 MAIL ADDRESS: STREET 1: 205 WEBSTER STREET CITY: BETHLEHEM STATE: PA ZIP: 18015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRESSNER GLEN R CENTRAL INDEX KEY: 0000902959 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 171252324 MAIL ADDRESS: STREET 1: 720 PENNSYLAVANIA DR CITY: EXTON STATE: PA ZIP: 19341 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arnson Eric R CENTRAL INDEX KEY: 0001685942 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 171252323 MAIL ADDRESS: STREET 1: 205 WEBSTER STREET CITY: BETHLEHEM STATE: PA ZIP: 18015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ORIGINATE GROWTH FUND 1A LP CENTRAL INDEX KEY: 0001384604 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37888 FILM NUMBER: 171252325 BUSINESS ADDRESS: STREET 1: C/O ORIGINATE GROWTH FUND GP LLC STREET 2: 205 WEBSTER STREET CITY: BETHLEHEM STATE: PA ZIP: 18015 BUSINESS PHONE: 6108665588 MAIL ADDRESS: STREET 1: C/O ORIGINATE GROWTH FUND GP LLC STREET 2: 205 WEBSTER STREET CITY: BETHLEHEM STATE: PA ZIP: 18015 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 2017-12-08 0 0001651561 Tabula Rasa HealthCare, Inc. TRHC 0001384604 ORIGINATE GROWTH FUND 1A LP 205 WEBSTER STREET BETHLEHEM PA 18015 0 0 1 0 0000902959 BRESSNER GLEN R 205 WEBSTER STREET BETHLEHEM PA 18015 1 0 1 0 0001685942 Arnson Eric R 205 WEBSTER STREET BETHLEHEM PA 18015 0 0 1 0 0001125761 GAUSLING MICHAEL J 205 WEBSTER STREET BETHLEHEM PA 18015 0 0 1 0 Common Stock 2017-12-08 4 S 0 237195 25.85 D 629594 D Common Stock 2017-12-11 4 S 0 72625 25.85 D 556969 D Represents shares of the Company's common stock sold by the Reporting Person in an underwritten public offering completed on December 8, 2017 at a price per share of $25.85, after deducting underwriting discounts and commissions of $1.65 per share. Represents shares of the Company's common stock sold by the Reporting Person upon the exercise of the underwriters' over-allotment option in an underwritten public offering completed on December 11, 2017 at a price per share of $25.85, after deducting underwriting discounts and commissions of $1.65 per share. This report is filed jointly by Originate Growth Fund #1A, L.P. ("Originate #1A"), Originate Growth GP, LLC ("Originate GP"), Glen R. Bressner, Eric R. Arnson and Michael J. Gausling. The shares are held by Originate #1A. The general partner of Originate #1A is Originate GP, a limited liability company. The members of Originate GP are Messrs. Bressner, Arnson and Gausling. The members of Originate GP share voting and dispositive power over the shares held by Originate #1A. Each of these individuals disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest. In addition, 5,565 shares granted to Mr. Bressner in September 2016 and 2,596 shares granted to Mr. Bressner in June 2017 are beneficially owned by Originate Growth Fund #1Q, L.P. and Originate Growth Fund #1A, L.P., with the shares allocated to each fund on a pro rata basis. Originate Growth Fund #1A, L.P., By: Originate Growth GP, LLC, By: /s/ Glen R. Bressner, Managing Partner, Originate Growth GP, LLC, By: /s/ Glen R. Bressner, Managing Partner 2017-12-12 /s/ Glen R. Bressner 2017-12-12 /s/ Eric R. Arnson 2017-12-12 /s/ Michael J. Gausling 2017-12-12