SEC Form 4 · accession 0001619954-17-000077

Inovalon Holdings, Inc. · INOV

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

Reporting owner

Officer — President

Period of report

Dec 4, 2017

Accepted (ET)

Dec 6, 2017 · 4:43 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	Dec 4, 2017	C	50,200	$0.00	A	466,286	D
Class A Common Stock^F1	Dec 4, 2017	S	50,200	$15.602	D	416,086	D
Class A Common Stock	Dec 5, 2017	C	59,906	$0.00	A	475,992	D
Class A Common Stock^F2	Dec 5, 2017	S	35,628	$15.448	D	440,364	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)	$7.88	Dec 4, 2017	X	50,200	D	Aug 15, 2015	Aug 14, 2024	Class B Common Stock	50,200	170,012	D
Class B Common Stock^F3	—	Dec 4, 2017	X	50,200	A	—	—	Class A Common Stock	50,200	50,200	D
Class B Common Stock^F3	—	Dec 4, 2017	C	50,200	D	—	—	Class A Common Stock	50,200	0	D
Employee Stock Option (right to buy)	$7.88	Dec 5, 2017	X	59,906	D	Aug 15, 2015	Aug 14, 2024	Class B Common Stock	59,906	110,106	D
Class B Common Stock^F3	—	Dec 5, 2017	X	59,906	A	—	—	Class A Common Stock	59,906	59,906	D
Class B Common Stock^F3	—	Dec 5, 2017	C	59,906	D	—	—	Class A Common Stock	59,906	0	D

F1The price reported in Column is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.30 to $15.95, 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 1 to this Form 4.
F2The price reported in Column is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.25 to $15.55, 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.
F3The 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.