SEC Form 4 · accession 0001179110-17-008109
Cotiviti Holdings, Inc. · COTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mala Anand
Director
Period of report
May 25, 2017
Accepted (ET)
May 26, 2017 · 4:36 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 shareF1 | May 25, 2017 | M | 1,938 | — | A | 1,938 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | — | May 25, 2017 | M | 1,938 | D | — | — | Common Stock, par value $0.001 per share | 1,938 | 0 | D |
Explanation of responses
- F1Restricted Stock Units convert into Common Stock on a one-for-one basis.
- F2On January 1, 2017, the Reporting Person was granted 1,938 Restricted Stock Units all of which vested on May 25, 2017, the date of Cotiviti Holdings, Inc.'s first annual meeting following the date of grant.