SEC Form 4 · accession 0001619954-16-000123

Inovalon Holdings, Inc. · INOV

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

Reporting owner

Officer — Fmr. Chief Financial Officer

Period of report

Nov 10, 2016

Accepted (ET)

Nov 14, 2016 · 5:45 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
Class A Common Stock	Nov 10, 2016	C	1,540	$0.00	A	10,050	D
Class A Common Stock	Nov 10, 2016	S	1,540	$15.40	D	8,510	D
Class A Common Stock	Nov 11, 2016	C	108,359	$0.00	A	116,869	D
Class A Common Stock^F2	Nov 11, 2016	S	108,359	$15.5357	D	8,510	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)	$7.502	Nov 10, 2016	X	1,540	D	May 14, 2014	May 13, 2024	Class B Common Stock	1,540	287,955	D
Class B Common Stock^F1	—	Nov 10, 2016	C	1,540	A	—	—	Class A Common Stock	1,540	1,540	D
Class B Common Stock^F1	—	Nov 10, 2016	C	1,540	D	—	—	Class A Common Stock	1,540	0	D
Employee Stock Option (right to buy)	$7.502	Nov 11, 2016	X	108,359	D	May 14, 2014	May 13, 2024	Class B Common Stock	108,359	179,596	D
Class B Common Stock^F1	—	Nov 11, 2016	C	108,359	A	—	—	Class A Common Stock	108,359	108,359	D
Class B Common Stock^F1	—	Nov 11, 2016	C	108,359	D	—	—	Class A Common Stock	108,359	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 $15.30 to 15.80, 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.