SEC Form 4 · accession 0001619954-16-000116

Inovalon Holdings, Inc. · INOV

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Legal Officer

Period of report

Sep 7, 2016

Accepted (ET)

Sep 9, 2016 · 6:34 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 7, 2016	C	31,593	$0.00	A	73,727	D
Class A Common Stock^F2	Sep 7, 2016	S$0	31,593	—	D	42,134	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (right to buy)	$6.638	Sep 7, 2016	X	28,284	D	Sep 30, 2014	Sep 29, 2023	Class B Common Stock	28,284	87,618	D
Class B Common Stock^F1	—	Sep 7, 2016	C	28,284	A	—	—	Class A Common Stock	28,284	28,284	D
Class B Common Stock^F1	—	Sep 7, 2016	C	28,284	D	—	—	Class A Common Stock	28,284	0	D
Employee Stock Option (right to buy)	$7.502	Sep 7, 2016	X	3,309	D	May 14, 2015	May 13, 2024	Class B Common Stock	3,309	9,927	D
Class B Common Stock^F1	—	Sep 7, 2016	C	3,309	A	—	—	Class A Common Stock	3,309	3,309	D
Class B Common Stock^F1	—	Sep 7, 2016	C	3,309	D	—	—	Class A Common Stock	3,309	0	D

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 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.50 to $16.56, 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.