0001628908-16-000073.txt : 20161110 0001628908-16-000073.hdr.sgml : 20161110 20161110161358 ACCESSION NUMBER: 0001628908-16-000073 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20161110 DATE AS OF CHANGE: 20161110 EFFECTIVENESS DATE: 20161110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Evolent Health, Inc. CENTRAL INDEX KEY: 0001628908 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 320454912 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274278 FILM NUMBER: 161988189 BUSINESS ADDRESS: STREET 1: 800 NORTH GLEBE RD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 BUSINESS PHONE: 571-389-6000 MAIL ADDRESS: STREET 1: 800 NORTH GLEBE RD, SUITE 500 CITY: ARLINGTON STATE: VA ZIP: 22203 D 1 primary_doc.xml X0707 D LIVE 0001628908 Evolent Health, Inc. 800 NORTH GLEBE RD, SUITE 500 ARLINGTON VA VIRGINIA 22203 571-389-6000 DELAWARE None None Corporation true 2014 Jonathan Weinberg 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Frank Williams 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Director Michael D'Amato 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director David Farner 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Bruce Felt 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Matt Hobart 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Diane Holder 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Michael Kirshbaum 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Norman Payson 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Kenneth Samet 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Cheryl Scott 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Seth Blackley 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Nicholas McGrane 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Tom Peterson 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Chad Pomeroy 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer David Thornton 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Steve Wigginton 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Lydia Stone 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Other Decline to Disclose 06c false 2016-11-01 false true true Offering is in connection with Issuer's acquisition of Aldera Holdings, Inc. by merger. 0 11000000 11000000 0 false 5 0 0 0 false Evolent Health, Inc. /s/ Jonathan Weinberg Jonathan Weinberg General Counsel and Secretary 2016-11-10