SEC Form 3 · accession 0001209191-15-050544
Evolent Health, Inc. · EVH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Cynthia Cammett Cann
Officer — Chief Accounting Officer
Period of report
Jun 5, 2015
Accepted (ET)
Jun 5, 2015 · 4:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001628908
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1,F2 | holding | — | — | — | 2,574 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock OptionsF3 | $6.87 | holding | — | — | — | — | Feb 1, 2025 | Class A Common Stock | 30,000 | — | D |
| Non-Qualified Stock OptionsF4 | $17.00 | holding | — | — | — | — | Jun 4, 2025 | Class A Common Stock | 10,621 | — | D |
Explanation of responses
- F1Represents restricted stock units granted to Ms. Cann pursuant to the Evolent Health, Inc. 2015 Omnibus Incentive Compensation Plan.
- F2Securities vest at a rate of 25% annually beginning June 4, 2016.
- F3Securities vest at a rate of 25% annually beginning March 1, 2016.
- F4Securities vest at a rate of 25% annually beginning June 4, 2016.