SEC Form 4 · accession 0001179110-18-001489
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
Feb 1, 2018
Accepted (ET)
Feb 5, 2018 · 4:23 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 | 872 | — | A | 1,021 | D | |
| Common Stock, par value $0.001 per share | Feb 1, 2018 | F | 298 | $34.70 | D | 723 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options (right to buy)F3 | $34.70 | Feb 1, 2018 | A | 28,368 | A | — | Feb 1, 2028 | Common Stock, par value $0.001 | 28,368 | 28,368 | D |
| Restricted Stock UnitsF4,F5 | — | Feb 1, 2018 | A | 11,347 | A | — | — | Common Stock, par value $0.001 | 11,347 | 11,347 | D |
| Restricted Stock UnitsF1,F6 | — | Feb 1, 2018 | M | 872 | D | — | — | Common Stock, par value $0.001 | 872 | 2,617 | 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.
- F3These 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.
- F4Each Restricted Stock Unit represents the right to receive, at settlement, one (1) share of common stock, par value $0.001 per share.
- F5The 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.
- F6On February 1, 2017, the Reporting Person was granted 3,489 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.