SEC Form 4 · accession 0001104659-16-148645

Tabula Rasa HealthCare, Inc. · TRHC

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

Reporting owner

John R. Durham

10% Owner

Period of report

Oct 4, 2016

Accepted (ET)

Oct 4, 2016 · 5:04 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
Common Stock^F1	Oct 4, 2016	X	20,617	$0.48	A	824,284	D
Common Stock^F1	Oct 4, 2016	X	264	$3.10	A	824,548	D
Common Stock^F1	Oct 4, 2016	X	660	$3.10	A	825,208	D
Common Stock^F1	Oct 4, 2016	X	684	$3.10	A	825,892	D
Common Stock^F1	Oct 4, 2016	X	684	$3.10	A	826,576	D
Common Stock^F1	Oct 4, 2016	X	661	$3.10	A	827,237	D
Common Stock^F1	Oct 4, 2016	X	684	$3.10	A	827,921	D
Common Stock^F1	Oct 4, 2016	X	661	$3.10	A	828,582	D
Common Stock^F1	Oct 4, 2016	X	684	$3.10	A	829,266	D
Common Stock^F1	Oct 4, 2016	X	364	$5.82	A	829,630	D
Common Stock^F1	Oct 4, 2016	X	329	$5.82	A	829,959	D
Common Stock^F1	Oct 4, 2016	X	364	$5.82	A	830,323	D
Common Stock^F1	Oct 4, 2016	X	353	$5.82	A	830,676	D
Common Stock^F1	Oct 4, 2016	X	364	$5.82	A	831,040	D
Common Stock^F1	Oct 4, 2016	X	353	$5.82	A	831,393	D
Common Stock^F1	Oct 4, 2016	X	364	$5.82	A	831,757	D
Common Stock^F1	Oct 4, 2016	X	364	$5.82	A	832,121	D
Common Stock^F1	Oct 4, 2016	X	353	$5.82	A	832,474	D
Common Stock^F1	Oct 4, 2016	X	364	$5.82	A	832,838	D
Common Stock^F1	Oct 4, 2016	X	353	$5.82	A	833,191	D
Common Stock^F1	Oct 4, 2016	X	90	$5.82	A	833,281	D
Common Stock^F1	Oct 4, 2016	X	4,070	$12.00	D	829,211	D

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Warrant (Right to Buy)	$0.48	Oct 4, 2016	M	20,617	D	May 1, 2009	May 1, 2019	Common Stock	20,617	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	264	D	May 15, 2013	May 15, 2023	Common Stock	264	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	660	D	Jun 15, 2013	Jun 15, 2023	Common Stock	660	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	684	D	Jul 15, 2013	Jul 15, 2023	Common Stock	684	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	684	D	Aug 15, 2013	Aug 15, 2023	Common Stock	684	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	661	D	Sep 15, 2013	Sep 15, 2023	Common Stock	661	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	684	D	Oct 15, 2013	Oct 15, 2023	Common Stock	684	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	661	D	Nov 15, 2013	Nov 15, 2023	Common Stock	661	D
Warrant (Right to Buy)	$3.10	Oct 4, 2016	M	684	D	Dec 15, 2013	Dec 15, 2023	Common Stock	684	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	364	D	Jan 15, 2014	Jan 15, 2024	Common Stock	364	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	329	D	Feb 15, 2014	Feb 15, 2024	Common Stock	329	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	364	D	Mar 15, 2014	Mar 15, 2024	Common Stock	364	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	353	D	Apr 15, 2014	Apr 15, 2024	Common Stock	353	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	364	D	May 15, 2014	May 15, 2024	Common Stock	364	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	353	D	Jun 15, 2014	Jun 15, 2024	Common Stock	353	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	364	D	Jul 15, 2014	Jul 15, 2024	Common Stock	364	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	364	D	Aug 15, 2014	Aug 15, 2024	Common Stock	364	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	353	D	Sep 15, 2014	Sep 15, 2024	Common Stock	353	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	364	D	Oct 15, 2014	Oct 15, 2024	Common Stock	364	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	353	D	Nov 15, 2014	Nov 15, 2024	Common Stock	353	D
Warrant (Right to Buy)	$5.82	Oct 4, 2016	M	90	D	Dec 15, 2014	Dec 15, 2024	Common Stock	90	D

Explanation of responses

F1The Form 3 filed on September 28, 2016 for the Reporting Person reported that he directly owned 803,425 shares of common stock, however the Reporting Person owned 803,667 shares of common stock. The additional 242 shares not previously reported have been included in the above given totals.