0001104659-19-000481.txt : 20190103 0001104659-19-000481.hdr.sgml : 20190103 20190103160245 ACCESSION NUMBER: 0001104659-19-000481 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190103 DATE AS OF CHANGE: 20190103 EFFECTIVENESS DATE: 20190103 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: 021-329572 FILM NUMBER: 19505315 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, Suite 100 Moorestown NJ NEW JERSEY 08057 866-648-2767 DELAWARE None None Corporation true 2014 Calvin H. Knowlton 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Executive Officer Director Orsula Knowlton 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Executive Officer Director Brian Adams 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Executive Officer Samira Beckwith 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Director Dennis Helling 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Director A. Gordon Tunstall 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Director Jan Berger 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Director Michael Purcell 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Director Kathrine O'Brien 228 Strawbridge Drive, Suite 100 Moorestown NJ NEW JERSEY 08057 Director Other Health Care Decline to Disclose 06b false 2019-01-02 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 purchase price in an acquisition. 0 15000000 15000000 0 The stated offering amount represents the maximum value of shares that may be issued. false 8 0 0 0 false Tabula Rasa HealthCare, Inc. /s/ Brian Adams Brian Adams Chief Financial Officer 2019-01-02