SEC Form 4 · accession 0001179110-17-001365
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
Jan 26, 2017
Accepted (ET)
Jan 30, 2017 · 9:47 pm EST
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 Stock | Jan 26, 2017 | M | 939 | $1.71 | A | 739,998 | D | |
| Common Stock | Jan 26, 2017 | M | 5,809 | $2.35 | A | 745,807 | D | |
| Common Stock | Jan 26, 2017 | M | 25,773 | $3.42 | A | 771,580 | D | |
| Common Stock | Jan 26, 2017 | M | 3,524 | $3.42 | A | 775,104 | D | |
| Common Stock | Jan 26, 2017 | M | 257,061 | $3.42 | A | 1,032,165 | D | |
| Common Stock | Jan 26, 2017 | M | 3,261 | $6.41 | A | 1,035,426 | D | |
| Common Stock | Jan 26, 2017 | M | 27,062 | $6.41 | A | 1,062,488 | D | |
| Common Stock | Jan 26, 2017 | M | 18,041 | $6.41 | A | 1,080,529 | D | |
| Common Stock | Jan 26, 2017 | M | 1,662 | $6.41 | A | 1,082,191 | D | |
| Common Stock | Jan 26, 2017 | F | 158,310 | $14.53 | D | 923,881 | D | |
| Common Stock | Jan 26, 2017 | M | 1,015 | $1.71 | A | 725,393 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 6,280 | $2.35 | A | 731,673 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 25,773 | $3.42 | A | 757,446 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 3,810 | $3.42 | A | 761,256 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 257,061 | $3.42 | A | 1,018,317 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 4,245 | $6.41 | A | 1,022,571 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 27,062 | $6.41 | A | 1,049,633 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 18,041 | $6.41 | A | 1,067,674 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | M | 1,860 | $6.41 | A | 1,069,534 | I | Held by spouse. |
| Common Stock | Jan 26, 2017 | F | 158,988 | $14.53 | D | 910,546 | I | Held by spouse. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $1.71 | Jan 26, 2017 | M | 939 | D | Mar 1, 2012 | Mar 1, 2017 | Common Stock | 939 | 0 | D |
| Employee Stock Option (right to buy) | $2.35 | Jan 26, 2017 | M | 5,809 | D | Dec 20, 2012 | Dec 20, 2017 | Common Stock | 5,809 | 0 | D |
| Employee Stock Option (right to buy)F1 | $3.42 | Jan 26, 2017 | M | 25,773 | D | — | Jan 2, 2018 | Common Stock | 25,773 | 0 | D |
| Employee Stock Option (right to buy) | $3.42 | Jan 26, 2017 | M | 3,524 | D | Jan 22, 2013 | Jan 22, 2018 | Common Stock | 3,524 | 0 | D |
| Employee Stock Option (right to buy)F2 | $3.42 | Jan 26, 2017 | M | 257,061 | D | — | Jun 28, 2018 | Common Stock | 257,061 | 36,723 | D |
| Employee Stock Option (right to buy) | $6.41 | Jan 26, 2017 | M | 3,261 | D | Jan 1, 2014 | Jan 1, 2019 | Common Stock | 3,261 | 0 | D |
| Employee Stock Option (right to buy)F3 | $6.41 | Jan 26, 2017 | M | 27,062 | D | — | Jan 1, 2019 | Common Stock | 27,062 | 9,020 | D |
| Employee Stock Option (right to buy)F4 | $6.41 | Jan 26, 2017 | M | 18,041 | D | — | Jan 1, 2020 | Common Stock | 18,041 | 18,041 | D |
| Employee Stock Option (right to buy) | $6.41 | Jan 26, 2017 | M | 1,662 | D | Feb 1, 2015 | Feb 1, 2020 | Common Stock | 1,662 | 0 | D |
| Employee Stock Option (right to buy) | $1.71 | Jan 26, 2017 | M | 1,015 | D | Mar 1, 2012 | Mar 1, 2017 | Common Stock | 1,015 | 0 | I |
| Employee Stock Option (right to buy) | $2.35 | Jan 26, 2017 | M | 6,280 | D | Dec 20, 2012 | Dec 20, 2017 | Common Stock | 6,280 | 0 | I |
| Employee Stock Option (right to buy)F5 | $3.42 | Jan 26, 2017 | M | 25,773 | D | — | Jan 2, 2018 | Common Stock | 25,773 | 0 | I |
| Employee Stock Option (right to buy) | $3.42 | Jan 26, 2017 | M | 3,810 | D | Jan 22, 2013 | Jan 22, 2018 | Common Stock | 3,810 | 0 | I |
| Employee Stock Option (right to buy)F6 | $3.42 | Jan 26, 2017 | M | 257,061 | D | — | Jun 28, 2018 | Common Stock | 257,061 | 36,723 | I |
| Employee Stock Option (right to buy) | $6.41 | Jan 26, 2017 | M | 4,254 | D | Jan 1, 2014 | Jan 1, 2019 | Common Stock | 4,254 | 0 | I |
| Employee Stock Option (right to buy)F7 | $6.41 | Jan 26, 2017 | M | 27,062 | D | — | Jan 1, 2019 | Common Stock | 27,062 | 9,020 | I |
| Employee Stock Option (right to buy)F8 | $6.41 | Jan 26, 2017 | M | 18,041 | D | — | Jan 1, 2020 | Common Stock | 18,041 | 18,041 | I |
| Employee Stock Option (right to buy) | $6.41 | Jan 26, 2017 | M | 1,860 | D | Feb 1, 2015 | Feb 1, 2020 | Common Stock | 1,860 | 0 | I |
Explanation of responses
- F1The Stock Option vests 25% on January 2, 2014 and in equal 1/36th installments each month thereafter.
- F2The Stock Option vests 25% on June 28, 2014 and in equal 1/36th installments each month thereafter.
- F3The Stock Option vests 25% on January 1, 2015 and in equal 1/36th installments each month thereafter.
- F4The Stock Option vests 25% on January 1, 2016 and in equal 1/36th installments each month thereafter.
- F5The Stock Option vests 25% on January 2, 2014 and in equal 1/36th installments each month thereafter.
- F6The Stock Option vests 25% on June 28, 2014 and in equal 1/36th installments each month thereafter.
- F7The Stock Option vests 25% on January 1, 2015 and in equal 1/36th installments each month thereafter.
- F8The Stock Option vests 25% on January 1, 2016 and in equal 1/36th installments each month thereafter.