SEC Form 4 · accession 0001179110-17-015012
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
Dec 5, 2017
Accepted (ET)
Dec 6, 2017 · 4:22 pm EST
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 | Dec 5, 2017 | M | 15,000 | $6.26 | A | 15,149 | D | |
| Common Stock, par value $0.001F1 | Dec 5, 2017 | S | 15,000 | $32.37 | D | 149 | D | |
| Common Stock, par value $0.001F2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options (right to buy)F3 | $6.26 | Dec 5, 2017 | M | 15,000 | D | — | Nov 1, 2023 | Common Stock, par value $0.001 | 15,000 | 58,200 | D |
Explanation of responses
- F1The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $32.10 to $32.62, 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 (1).
- F2Held directly by The Arnold Olefson 2007 Personal Residence Trust, dated February 7, 2007, of which the Reporting Person serves as a Trustee.
- F358,560 of these options had vested as of November 01, 2017. The remaining 14,640 options vest and become exercisable on November 01, 2018, subject to the Reporting Person's continued service through the vesting date.