SEC Form 4 · accession 0001619954-15-000032
Inovalon Holdings, Inc. · INOV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel L Rizzo
Officer — Chief Innovation Officer
Period of report
Sep 3, 2015
Accepted (ET)
Sep 15, 2015 · 5:43 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001619954
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Sep 3, 2015 | C | 360,000 | $0.00 | A | 360,000 | D | |
| Class A Common StockF1 | Sep 3, 2015 | C | 144,000 | $0.00 | A | 144,000 | I | By Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF3,F2 | — | Sep 3, 2015 | C | 360,000 | D | — | — | Class A Common Stock | 360,000 | 3,170,400 | D |
| Class B Common StockF3,F1,F2 | — | Sep 3, 2015 | C | 144,000 | D | — | — | Class A Common Stock | 144,000 | 1,231,050 | I |
| Class B Common StockF4,F2 | — | holding | — | — | — | — | — | Class A Common Stock | 458,765 | 458,765 | I |
Explanation of responses
- F1Shares owned by an irrevocable trust for the sole benefit of Mr. Rizzo's son.
- F2The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis (a) at the holder's option or (b) upon certain transfers of such shares, and has no expiration date.
- F3The holder elected to convert the shares of Class B Common Stock into shares of Class A Common Stock on a 1-for-1 basis.
- F4Shares owned by an irrevocable charitable trust, with an unrelated trustee, over which Mr. Rizzo maintains dispositive control.