SEC Form 4 · accession 0001619954-15-000036
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
Nov 5, 2015
Accepted (ET)
Nov 9, 2015 · 12:23 pm EST
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 StockF1 | Nov 5, 2015 | C | 458,765 | $0.00 | A | 458,765 | I | By Trust |
| Class A Common Stock | Nov 7, 2015 | C | 12,500 | $0.00 | A | 372,500 | 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 StockF3,F1,F2 | — | Nov 5, 2015 | C | 458,765 | D | — | — | Class A Common Stock | 458,765 | 0 | I |
| Class B Common StockF3,F2 | — | Nov 7, 2015 | C | 12,500 | D | — | — | Class A Common Stock | 12,500 | 3,157,900 | D |
Explanation of responses
- F1Shares owned by an irrevocable charitable trust, with an unrelated trustee, over which Mr. Rizzo maintains dispositive control.
- 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.