SEC Form 4 · accession 0001619954-15-000034
Inovalon Holdings, Inc. · INOV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lee D Roberts
Director
Period of report
Sep 23, 2015
Accepted (ET)
Sep 25, 2015 · 3:37 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 23, 2015 | C | 14,745 | $0.00 | A | 75,818 | D |
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 StockF2,F1 | — | Sep 23, 2015 | C | 14,745 | D | — | — | Class A Common Stock | 14,745 | 0 | D |
Explanation of responses
- F1The 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.
- F2The holder elected to convert the shares of Class B Common Stock into Class A Common Stock on a 1-for-1 basis.