SEC Form 4 · accession 0001619954-18-000006
Inovalon Holdings, Inc. · INOV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shauna L Vernal
Officer — Fmr. Chief Legal Officer
Period of report
Jan 23, 2018
Accepted (ET)
Jan 25, 2018 · 10:29 am 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 | Jan 23, 2018 | C | 44,270 | $0.00 | A | 86,071 | D | |
| Class A Common StockF2 | Jan 23, 2018 | S | 44,270 | $14.00 | D | 10,000 | 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)F3 | $6.638 | Jan 23, 2018 | X | 44,270 | D | Sep 30, 2013 | Sep 29, 2023 | Class B Common Stock | 44,270 | 0 | D |
| Class B Common StockF4 | — | Jan 23, 2018 | C | 44,270 | A | — | — | Class A Common Stock | 44,270 | 44,270 | D |
| Class B Common StockF4 | — | Jan 23, 2018 | C | 44,270 | D | — | — | Class A Common Stock | 44,270 | 0 | D |
Explanation of responses
- F1Includes 400 shares of Class A Common Stock that were inadvertently omitted from the calculation of shares beneficially owned on the Form 4 filed on November 20, 2017.
- F2Reflects forfeiture of all unvested restricted stock and restricted stock units.
- F3Reflects forfeiture of all unvested stock options.
- F4The 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.