0001104659-17-056928.txt : 20170913 0001104659-17-056928.hdr.sgml : 20170913 20170913132838 ACCESSION NUMBER: 0001104659-17-056928 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170913 DATE AS OF CHANGE: 20170913 EFFECTIVENESS DATE: 20170913 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Tabula Rasa HealthCare, Inc. CENTRAL INDEX KEY: 0001651561 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 465726437 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-294604 FILM NUMBER: 171082821 BUSINESS ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 BUSINESS PHONE: 866-648-2767 MAIL ADDRESS: STREET 1: 228 STRAWBRIDGE DRIVE STREET 2: SUITE 100 CITY: MOORESTOWN STATE: NJ ZIP: 08057 D 1 primary_doc.xml X0708 D LIVE 0001651561 Tabula Rasa HealthCare, Inc. 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 866-648-2767 DELAWARE None None Corporation true 2014 Calvin H. Knowlton 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Executive Officer Director Orsula Knowlton 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Executive Officer Director Brian Adams 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Executive Officer Glen Bressner 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Director Daniel Lubin 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Director Bruce V. Luehrs 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Director Dennis Heling 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Director A. Gordon Tunstall 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Director Samira Kanaan Beckwith 228 Strawbridge Drive Moorestown NJ NEW JERSEY 08057 Director Other Health Care Decline to Disclose 06b false 2017-09-06 false true true Rights to receive additional shares of common stock upon satisfaction of certain conditions. true Shares of common stock are being issued as partial merger consideration. 0 52500000 52500000 0 The stated offering amount represents the maximum value of shares that may be issued. false 36 0 0 0 false Tabula Rasa HealthCare, Inc. /s/ Brian Adams Brian Adams Chief Financial Officer 2017-09-12