0001628908-19-000046.txt : 20190628 0001628908-19-000046.hdr.sgml : 20190628 20190628163156 ACCESSION NUMBER: 0001628908-19-000046 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190628 DATE AS OF CHANGE: 20190628 EFFECTIVENESS DATE: 20190628 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: 021-343125 FILM NUMBER: 19929838 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 X0708 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 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 Director 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 Lydia Stone 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Executive Officer Bridget Duffy 800 N. Glebe Road Suite 500 Arlington VA VIRGINIA 22203 Director Other Decline to Disclose 06b false 2019-06-14 false true true Offering is in connection with a transaction with The Accountable Care Organization Ltd. 0 1300000 1300000 0 false 18 0 0 0 false Evolent Health, Inc. /s/ Jonathan Weinberg Jonathan Weinberg General Counsel and Secretary 2019-06-28