SEC Form 4 · accession 0001179110-17-001385

Tabula Rasa HealthCare, Inc. · TRHC

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

Reporting owner

Officer — Chief Executive Officer · Director · 10% Owner

Period of report

Oct 17, 2016

Accepted (ET)

Jan 31, 2017 · 3:59 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	Oct 17, 2016	M	309	$1.71	A	915,145	D
Common Stock	Oct 17, 2016	M	3,711	$1.71	A	918,856	D
Common Stock	Oct 17, 2016	F	494	$13.91	D	918,362	D
Common Stock	Oct 17, 2016	M	309	$1.71	A	919,900	I	Held by spouse.
Common Stock	Oct 17, 2016	M	3,711	$1.71	A	923,611	I	Held by spouse.
Common Stock	Oct 17, 2016	F	494	$13.91	D	923,117	I	Held by spouse.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Employee Stock Option (right to buy)^F1	$1.71	Oct 17, 2016	M	309	D	—	Oct 25, 2016	Common Stock	309	D
Employee Stock Option (right to buy)^F2	$1.71	Oct 17, 2016	M	3,711	D	—	Nov 25, 2016	Common Stock	3,711	D
Employee Stock Option (right to buy)^F3	$1.71	Oct 17, 2016	M	309	D	—	Oct 25, 2016	Common Stock	309	I
Employee Stock Option (right to buy)^F4	$1.71	Oct 17, 2016	M	3,711	D	—	Nov 25, 2016	Common Stock	3,711	I

F1The Stock Option vests 25% on October 25, 2012 and in equal 1/36th installments each month thereafter.
F2The Stock Option vests 25% on November 25, 2012 and in equal 1/36th installments each month thereafter.
F3The Stock Option vests 25% on October 25, 2012 and in equal 1/36th installments each month thereafter.
F4The Stock Option vests 25% on November 25, 2012 and in equal 1/36th installments each month thereafter.