144/A 0001959173-26-005348 0001677399 XXXXXXXX LIVE 0001668397 Medpace Holdings, Inc. 001-37856 5375 MEDPACE WAY CINCINNATI OH 45227 (513) 579-9911 GEIGER JESSE J Former Officer Common Fidelity Brokerage Services LLC

900 Salem Street Smithfield RI 02917

11000 6950877.79 27911655 07/23/2026 NASDAQ Common 12/06/2024 Stock Option Exercise Issuer N 11000 12/06/2024 Cash Y This form 144 amends and supersedes the form 144 filed on July 23, 2026. The Date of Plan Adoption has been corrected. 07/29/2026 11/11/2025 /s/Wade Moss, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Jesse J. Geiger