SEC Form 4 · accession 0001179110-18-001018
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
Jan 19, 2018
Accepted (ET)
Jan 23, 2018 · 4:19 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 | Jan 19, 2018 | M | 11,440 | $11.33 | A | 49,573 | D | |
| Common Stock, par value $0.001 | Jan 19, 2018 | M | 3,560 | $11.33 | A | 53,133 | D | |
| Common Stock, par value $0.001 | Jan 19, 2018 | S | 15,000 | $35.00 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options (right to buy)F2 | $11.33 | Jan 19, 2018 | M | 11,440 | D | — | Sep 26, 2024 | Common Stock, par value $0.001 | 11,440 | 134,960 | D |
| Options (right to buy)F3 | $11.33 | Jan 19, 2018 | M | 3,560 | D | — | Sep 26, 2024 | Common Stock, par value $0.001 | 3,560 | 137,840 | 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 August 25, 2017.
- F2These 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.
- F382,840 of these options had vested as of September 26, 2017. The remaining 58,560 options vest and become exercisable in equal annual installments of 50% of the shares on September 26, 2018, and September 26, 2019, subject to the Reporting Person's continued service through each applicable vesting date.