SEC Form 4 · accession 0001619954-16-000067
Inovalon Holdings, Inc. · INOV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert A Wychulis
Officer — President
Period of report
Mar 4, 2016
Accepted (ET)
Mar 7, 2016 · 12:05 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 Stock | Mar 4, 2016 | C | 55,053 | $0.00 | A | 63,666 | D | |
| Class A Common StockF2 | Mar 4, 2016 | S | 33,003 | $18.1716 | D | 30,663 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $7.88 | Mar 4, 2016 | X | 55,053 | D | Aug 15, 2015 | Aug 14, 2024 | Class B Common Stock | 55,053 | 220,212 | D |
| Class B Common StockF1 | — | Mar 4, 2016 | X | 55,053 | A | — | — | Class A Common Stock | 55,053 | 55,053 | D |
| Class B Common StockF1 | — | Mar 4, 2016 | C | 55,053 | D | — | — | Class A Comon Stock | 55,053 | 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 price reported in Column is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.06 to $18.30, inclusive. The reporting person undertakes to provide to Inovalon Holdings, Inc., any security holder of Inovalon Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in footnote 2 to this Form 4.