Brian W. Adams - 03 Nov 2023 Form 4 Insider Report for Tabula Rasa HealthCare, Inc.

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
14 Nov 2023, 20:16:03 UTC
Prior SEC filing
30 Jun 2023
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Brian W. Adams

Key filing fact

Brian W. Adams filed Form 4 for Tabula Rasa HealthCare, Inc. on 14 Nov 2023.

Key facts

  • This page summarizes Brian W. Adams's Form 4 filing for Tabula Rasa HealthCare, Inc..
  • 7 reported transactions and 3 derivative rows are listed below.
  • Accepted by SEC: 14 Nov 2023, 20:16.

Change

  • Previous filing in this sequence was filed on 30 Jun 2023.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

TRHC transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-249,477
Change %
-33%
Price
Shares after
517,834
Date
03 Nov 2023
Ownership
Direct
Footnotes
F1
TRHC transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-55,556
Change %
-11%
Price
Shares after
462,278
Date
03 Nov 2023
Ownership
Direct
Footnotes
F2
TRHC transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-169,570
Change %
-37%
Price
Shares after
292,708
Date
03 Nov 2023
Ownership
Direct
Footnotes
F3
TRHC transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-292,708
Change %
-100%
Price
Shares after
0
Date
03 Nov 2023
Ownership
Direct
Footnotes
F4

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

TRHC transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
$0
Shares
-21,350
Change %
-100%
Price
$0.000000*
Shares after
0
Date
03 Nov 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
21,350
Exercise price
$14.23
Footnotes
F5
TRHC transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
$0
Shares
-1,077
Change %
-100%
Price
$0.000000*
Shares after
0
Date
03 Nov 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
1,077
Exercise price
$13.78
Footnotes
F6
TRHC transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
$0
Shares
-38,270
Change %
-100%
Price
$0.000000*
Shares after
0
Date
03 Nov 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
38,270
Exercise price
$13.78
Footnotes
F7
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Brian W. Adams is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 7 footnotes

Footnote F1

Upon the consummation of the merger (the "Merger") contemplated by that certain Agreement and Plan of Merger, by and among Tabula Rasa HealthCare, Inc. (the "Company"), Locke Buyer, LLC and Locke Merger Sub, Inc., dated August 5, 2023 (the "Merger Agreement"), 249,477 shares of common stock of the Company ("Common Stock") were converted into the right to receive a cash payment of $2,619,508.50, representing the product obtained by multiplying (x) aggregate number of shares of Common Stock owned by the reporting person, by (y) the offer price ($10.50).

Footnote F2

Upon the consummation of the Merger, pursuant to the Merger Agreement, 55,556 outstanding restricted stock units ("RSUs") were cancelled and converted into the right to receive a cash payment of $583,338, representing the product obtained by multiplying (x) the aggregate number of shares of Common Stock underlying the RSUs, by (y) the offer price ($10.50).

Footnote F3

Upon the consummation of the Merger, pursuant to the Merger Agreement, 169,570 unvested restricted stock awards ("RSAs") were cancelled and converted into the right to receive a cash payment of $1,780,485, representing the product obtained by multiplying (x) the aggregate number of shares of Common Stock underlying the RSAs, by (y) the offer price ($10.50).

Footnote F4

Represents 292,708 shares of Common Stock underlying performance stock units ("PSUs") that were vested as of immediately prior to the effective time of the Merger but not yet settled or that automatically vested as a result of the Merger in accordance with their terms and without the exercise of discretion. The PSUs were not previously reported as the number of shares underlying the PSUs was not determinable. Pursuant to the terms of the Merger Agreement, the PSUs were cancelled in the Merger and converted into the right to receive a cash payment of $3,073,434, representing the product obtained by multiplying (x) the aggregate number of shares of Common Stock issuable in settlement of the PSUs, by (y) the offer price ($10.50).

Footnote F5

Pursuant to the Merger Agreement, any stock option with an exercise price per share of Common Stock that was equal to or greater than the offer price ($10.50) was to be cancelled for no consideration. Accordingly, upon the consummation of the Merger, 21,350 stock options were cancelled for no consideration, as the exercise price per share of Common Stock was $14.23.

Footnote F6

Pursuant to the Merger Agreement, any stock option with an exercise price per share of Common Stock that was equal to or greater than the offer price ($10.50) was to be cancelled for no consideration. Accordingly, upon the consummation of the Merger, 1,077 stock options were cancelled for no consideration, as the exercise price per share of Common Stock was $13.78.

Footnote F7

Pursuant to the Merger Agreement, any stock option with an exercise price per share of Common Stock that was equal to or greater than the offer price ($10.50) was to be cancelled for no consideration. Accordingly, upon the consummation of the Merger, 38,270 stock options were cancelled for no consideration, as the exercise price per share of Common Stock was $13.78.

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