Form4insider filings, from the source

SEC Form 4 · accession 0000903423-16-001267

Evolent Health, Inc. · EVH

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners
Period of report
Sep 14, 2016
Accepted (ET)
Sep 16, 2016 · 4:53 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001628908

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Class A Common StockF3,F4,F5,F6,F7,F8,F9Sep 14, 2016C1,656,024—A4,040,660ISee Explanation of Responses
Class A Common StockF1,F5,F6,F7,F8,F9Sep 14, 2016S2,284,571$21.54D1,756,089ISee Explanation of Responses

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Class B Units and Class B Common StockF2,F3,F4,F6,F7,F8,F9—Sep 14, 2016C1,656,024D——Class A Common Stock1,656,0249,633,644I

Explanation of responses

Remarks

(10) The Reporting Persons are jointly filing this Form 4 pursuant to Rule 16a-3(j) under the Exchange Act. (11) Clive Bode is signing on behalf of both Messrs. Bonderman and Coulter pursuant to authorization and designation letters dated June 19, 2015, which were previously filed with the Securities and Exchange Commission.