SEC Form 4 · accession 0001104659-16-148635
Tabula Rasa HealthCare, Inc. · TRHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Orsula V Knowlton
Officer — President · Director · 10% Owner
Period of report
Oct 4, 2016
Accepted (ET)
Oct 4, 2016 · 5:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001651561
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 4, 2016 | A | 6,572 | $0.00 | A | 707,441 | D | |
| Common Stock | Oct 4, 2016 | F | 2,602 | $12.00 | D | 704,839 | D | |
| Common Stock | Oct 4, 2016 | J | 4,290 | $12.00 | A | 709,129 | D | |
| Common StockF3 | Oct 4, 2016 | A | 6,572 | $0.00 | A | 696,916 | I | Held by spouse |
| Common Stock | Oct 4, 2016 | F | 2,602 | $12.00 | D | 694,314 | I | Held by spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Common stock held by Dr. Knowlton includes 267,268 shares of restricted common stock granted on September 28, 2016. All such shares of restricted common stock will vest on May 31, 2017.
- F2Shares issued upon the closing of the Issuer's initial public offering at the initial public offering price of $12.00 per share.
- F3Common stock held by Calvin Knowlton includes 337,307 shares of restricted common stock granted on September 28, 2016. All such shares of restricted common stock will vest on May 31, 2017.