SEC Form 4 · accession 0001179110-18-000932
Tabula Rasa HealthCare, Inc. · TRHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian W Adams
Officer — Chief Financial Officer
Period of report
Jan 12, 2018
Accepted (ET)
Jan 17, 2018 · 6:35 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 12, 2018 | M | 10,309 | $1.56 | A | 81,826 | D | |
| Common Stock | Jan 12, 2018 | M | 6,701 | $1.56 | A | 88,527 | D | |
| Common Stock | Jan 12, 2018 | M | 2,577 | $1.56 | A | 91,104 | D | |
| Common Stock | Jan 12, 2018 | M | 1,288 | $1.56 | A | 92,392 | D | |
| Common Stock | Jan 12, 2018 | M | 8,442 | $2.14 | A | 100,834 | D | |
| Common Stock | Jan 12, 2018 | M | 7,731 | $3.11 | A | 108,565 | D | |
| Common Stock | Jan 12, 2018 | M | 675 | $3.11 | A | 109,240 | D | |
| Common Stock | Jan 12, 2018 | M | 263 | $5.82 | A | 109,503 | D | |
| Common Stock | Jan 12, 2018 | M | 10,309 | $5.82 | A | 119,812 | D | |
| Common Stock | Jan 12, 2018 | M | 7,731 | $5.82 | A | 127,543 | D | |
| Common Stock | Jan 12, 2018 | M | 625 | $5.82 | A | 128,168 | D | |
| Common Stock | Jan 12, 2018 | P | 5,391 | $14.23 | A | 133,559 | D | |
| Common Stock | Jan 12, 2018 | F | 8,002 | $32.95 | D | 125,557 | D |
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)F1 | $1.56 | Jan 12, 2018 | M | 10,309 | D | — | Oct 20, 2021 | Common Stock | 10,309 | 0 | D |
| Employee Stock Option (right to buy)F2 | $1.56 | Jan 12, 2018 | M | 6,701 | D | — | Jan 6, 2022 | Common Stock | 6,701 | 0 | D |
| Employee Stock Option (right to buy) | $1.56 | Jan 12, 2018 | M | 2,577 | D | Jan 6, 2012 | Jan 6, 2022 | Common Stock | 2,577 | 0 | D |
| Employee Stock Option (right to buy) | $1.56 | Jan 12, 2018 | M | 1,288 | D | Mar 1, 2012 | Mar 1, 2022 | Common Stock | 1,288 | 0 | D |
| Employee Stock Option (right to buy) | $2.14 | Jan 12, 2018 | M | 8,442 | D | Dec 20, 2012 | Dec 20, 2022 | Common Stock | 8,442 | 0 | D |
| Employee Stock Option (right to buy)F3 | $3.11 | Jan 12, 2018 | M | 7,731 | D | — | Jan 2, 2023 | Common Stock | 7,731 | 0 | D |
| Employee Stock Option (right to buy) | $3.11 | Jan 12, 2018 | M | 675 | D | Jan 22, 2013 | Jan 22, 2023 | Common Stock | 675 | 0 | D |
| Employee Stock Option (right to buy) | $5.82 | Jan 12, 2018 | M | 263 | D | Jan 1, 2014 | Jan 1, 2024 | Common Stock | 263 | 0 | D |
| Employee Stock Option (right to buy)F4 | $5.82 | Jan 12, 2018 | M | 10,309 | D | — | Jan 1, 2024 | Common Stock | 10,309 | 0 | D |
| Employee Stock Option (right to buy)F5 | $5.82 | Jan 12, 2018 | M | 7,731 | D | — | Jan 1, 2025 | Common Stock | 7,731 | 2,578 | D |
| Employee Stock Option (right to buy)F6 | $5.82 | Jan 12, 2018 | M | 625 | D | — | Feb 1, 2025 | Common Stock | 625 | 0 | D |
| Employee Stock Option (right to buy)F7 | $14.23 | Jan 12, 2018 | M | 5,391 | D | — | Oct 21, 2026 | Common Stock | 5,391 | 29,609 | D |
Explanation of responses
- F1The Stock Option vested 25% on October 20, 2012 and in equal 1/36th installments each month thereafter.
- F2The Stock Option vested 25% on January 6, 2013 and in equal 1/36th installments each month thereafter.
- F3The Stock Option vested 25% on January 2, 2014 and in equal 1/36th installments each month thereafter.
- F4The Stock Option vested 25% on January 1, 2015 and in equal 1/36th installments each month thereafter.
- F5The Stock Option vested 25% on January 1, 2016 and vests in equal 1/36th installments each month thereafter.
- F6Previous disclosure stated that the Stock Option vested 25% on February 1, 2016 and vests in equal 1/36th installments each month thereafter. Notwithstanding the foregoing, the Stock Option actually vested immediately.
- F7The Stock Option vested one-third on October 21, 2017 and in equal 1/24th installments each month thereafter.