SEC Form 4 · accession 0001179110-17-007293
Cotiviti Holdings, Inc. · COTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas Present
Director
Period of report
May 15, 2017
Accepted (ET)
May 16, 2017 · 4:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001657197
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001 per share | May 15, 2017 | M | 2,357 | $6.26 | A | 2,357 | D | |
| Common Stock, par value $0.001 per share | May 15, 2017 | M | 11,895 | $6.26 | A | 14,252 | D | |
| Common Stock, par value $0.001F2 | May 15, 2017 | S | 7,108 | $38.10 | D | 7,144 | D | |
| Common Stock, par value $0.001F3 | May 15, 2017 | S | 7,144 | $38.62 | D | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options (right to buy)F4 | $6.26 | May 15, 2017 | M | 2,357 | A | — | Nov 1, 2023 | Common Stock, par value $0.001 | 2,357 | 5,947 | D |
| Options (right to buy)F5 | $6.26 | May 15, 2017 | M | 11,895 | A | — | Nov 1, 2023 | Common Stock, par value $0.001 | 11,895 | 0 | D |
Explanation of responses
- F1The sales reported in this Form 4 were effected pursuant to a 10b5-1 trading plan adopted by the Reporting Person on December 12, 2016.
- F2The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $37.945 to $38.32, inclusive. The Reporting Person undertakes to provide upon request to Cotiviti Holdings, Inc., any security holder of Cotiviti Holdings, Inc. or to the staff of the Securities and Exchange Commission, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (2).
- F3The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $38.34 to $38.95, inclusive. The Reporting Person undertakes to provide upon request to Cotiviti Holdings, Inc., any security holder of Cotiviti Holdings, Inc. or to the staff of the Securities and Exchange Commission, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (3).
- F42,357 of these options had vested as of November 01, 2016. The remaining 5,947 options vest and become exercisable in equal annual installments of 50% of the shares on November 01, 2017, and November 01, 2018, subject to the Reporting Person's continued service through each applicable vesting date.
- F5These options ("Performance Awards") vest based on upon the weighted average price of the Issuer's common stock for any fiscal quarter exceeding a value that shall be calculated by the Issuer at the end of each such fiscal quarter in accordance with Stock Option Award Agreement pursuant to which such Performance Awards were granted, subject to the Reporting Person's continued service through each applicable vesting date. All of these Performance Awards had vested as of September 30, 2016.