SEC Form 4 · accession 0001179110-17-008123
Cotiviti Holdings, Inc. · COTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jonathan Olefson
Officer — SVP, Gen. Counsel, Secretary
Period of report
May 25, 2017
Accepted (ET)
May 26, 2017 · 4:41 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 | 228 | — | A | 228 | D | |
| Common Stock, par value $0.001 per share | May 25, 2017 | F | 79 | $39.39 | D | 149 | D | |
| Common Stock, par value $0.001 per shareF2 | holding | — | — | — | 9,316 | I | By Trust |
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,F3 | — | May 25, 2017 | M | 228 | D | — | — | Common Stock, par value $0.001 per share | 228 | 687 | D |
Explanation of responses
- F1Restricted Stock Units convert into Common Stock on a one-for-one basis.
- F2Held directly by The Arnold Olefson 2007 Personal Residence Trust, dated February 7, 2007, of which the Reporting Person serves as a Trustee.
- F3On May 25, 2016, the Reporting Person was granted 915 Restricted Stock Units, vesting in equal annual installments of 25% over a 4-year period on each anniversary date of the date of the grant, subject to the Reporting Person's continued service through each applicable vesting date.