SEC Form 4 · accession 0001179110-17-008124
Cotiviti Holdings, Inc. · COTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Beaulieu
Officer — SVP and COO
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 | 477 | — | A | 38,297 | D | |
| Common Stock, par value $0.001 per share | May 25, 2017 | F | 164 | $39.39 | D | 38,133 | 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 | 477 | D | — | — | Common Stock, par value $0.001 per share | 477 | 1,429 | D |
Explanation of responses
- F1Restricted Stock Units convert into Common Stock on a one-for-one basis.
- F2On May 25, 2016, the Reporting Person was granted 1,906 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.