Filing Details
- Accession Number:
- 0001628908-18-000066
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2018-09-04 16:41:37
- Reporting Period:
- 2018-08-30
- Accepted Time:
- 2018-09-04 16:41:37
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1628908 | Evolent Health Inc. | EVH | Services-Management Services (8741) | 320454912 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1654824 | Lydia Stone | C/O Evolent Health, Inc. 800 N. Glebe Road, Suite 500 Arlington VA 22203 | Chief Accounting Officer | No | Yes | No | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Disposition | 2018-08-30 | 1,365 | $25.00 | 15,390 | No | 4 | S | Direct | |
| Class A Common Stock | Acquisiton | 2018-08-30 | 1,000 | $6.87 | 16,390 | No | 4 | M | Direct | |
| Class A Common Stock | Disposition | 2018-08-30 | 1,000 | $25.00 | 15,390 | No | 4 | S | Direct | |
| Class A Common Stock | Acquisiton | 2018-08-30 | 2,908 | $10.27 | 18,298 | No | 4 | M | Direct | |
| Class A Common Stock | Disposition | 2018-08-30 | 2,908 | $25.00 | 15,390 | No | 4 | S | Direct | |
| Class A Common Stock | Acquisiton | 2018-08-30 | 1,532 | $18.25 | 16,922 | No | 4 | M | Direct | |
| Class A Common Stock | Disposition | 2018-08-30 | 1,532 | $25.00 | 15,390 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | S | Direct | |
| No | 4 | M | Direct | |
| No | 4 | S | Direct | |
| No | 4 | M | Direct | |
| No | 4 | S | Direct | |
| No | 4 | M | Direct | |
| No | 4 | S | Direct |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Class A Common Stock | Class A Common Stock Option (right to buy) | Disposition | 2018-08-30 | 1,000 | $0.00 | 1,000 | $6.87 |
| Class A Common Stock | Class A Common Stock Option (right to buy) | Disposition | 2018-08-30 | 2,908 | $0.00 | 2,908 | $10.27 |
| Class A Common Stock | Class A Common Stock Option (right to buy) | Disposition | 2018-08-30 | 1,532 | $0.00 | 1,532 | $18.25 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 1,000 | 2025-01-01 | No | 4 | M | Direct | |
| 5,814 | 2026-03-01 | No | 4 | M | Direct | |
| 4,595 | 2027-02-01 | No | 4 | M | Direct |
Footnotes
- The transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on June 5, 2017.
- Includes restricted stock units under awards reported on Table 1 of Form 4s previously filed with the Securities and Exchange Commission.
- The Class A Common Stock Options exercised vested on January 1, 2018.
- The Class A Common Stock Options exercised vested on March 1, 2018.
- The Class A Common Stock Options exercised vested on February 1, 2018.
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