SEC Form 4 · accession 0001179110-18-001485
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
Feb 1, 2018
Accepted (ET)
Feb 5, 2018 · 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 per shareF1 | Feb 1, 2018 | M | 1,817 | — | A | 39,950 | D | |
| Common Stock, par value $0.001 per share | Feb 1, 2018 | F | 525 | $34.70 | D | 39,425 | 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 | $34.70 | Feb 1, 2018 | A | 50,927 | A | — | Feb 1, 2028 | Common Stock, par value $0.001 | 50,927 | 50,927 | D |
| Restricted Stock UnitsF3,F4 | — | Feb 1, 2018 | A | 20,371 | A | — | — | Common Stock, par value $0.001 | 20,371 | 20,371 | D |
| Restricted Stock UnitsF1,F5 | — | Feb 1, 2018 | M | 1,817 | D | — | — | Common Stock, par value $0.001 | 1,817 | 5,453 | D |
Explanation of responses
- F1Restricted Stock Units convert into Common Stock on a one-for-one basis.
- F2These options vest and become exercisable in equal annual installments of 25% of the shares over a 4-year period on each anniversary date of the grant, February 1, 2018, subject to the Reporting Person's continued service through each applicable vesting date.
- F3Each Restricted Stock Unit represents the right to receive, at settlement, one (1) share of common stock, par value $0.001 per share.
- F4The Restricted Stock Units vest in equal annual installments of 25% of the shares over a 4-year period on each anniversary date of the grant, February 1, 2018, subject to the Reporting Person's continued service through each applicable vesting date.
- F5On February 1, 2017, the Reporting Person was granted 7,270 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.