SEC Form 4 · accession 0001619954-17-000019
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 2, 2017
Accepted (ET)
Mar 6, 2017 · 5:30 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 | Mar 2, 2017 | A | 64,601 | $0.00 | A | 97,447 | D | |
| Class A Common StockF2 | Mar 2, 2017 | A | 8,036 | $0.00 | A | 105,483 | D | |
| Class A Common StockF3 | Mar 5, 2017 | M | 889 | — | A | 106,372 | D | |
| Class A Common StockF4 | Mar 5, 2017 | F | 364 | $11.70 | D | 106,008 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class A Common StockF3,F5 | — | Mar 5, 2017 | M | 889 | D | — | — | Class A Common Stock | 889 | 2,665 | D |
Explanation of responses
- F1The shares of restricted stock vest in five equal annual installments beginning March 2, 2018.
- F2The shares of restricted stock will cliff vest 100% on the fifth anniversary of the March 2, 2017 grant date.
- F3Each restricted stock unit represents a contingent right to receive one share of Inovalon Holdings, Inc. Class A Common Stock.
- F4Shares withheld to satisfy minimum legally-required tax withholding obligations upon delivery of stock.
- F5On March 5, 2015, the reporting person was granted 4,443 restricted stock units, vesting in five equal installments, beginning on the first anniversary of the grant date.