SEC Form 4 · accession 0001179110-18-001490
Cotiviti Holdings, Inc. · COTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nord Erik Samuelson
Officer — SVP, Chief Digital Officer
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
No Table I lines on this filing.
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)F1 | $34.70 | Feb 1, 2018 | A | 7,204 | A | — | Feb 1, 2028 | Common Stock, par value $0.001 | 7,204 | 7,204 | D |
| Restricted Stock UnitsF2,F3 | — | Feb 1, 2018 | A | 2,881 | A | — | — | Common Stock, par value $0.001 | 2,881 | 2,881 | D |
Explanation of responses
- F1These 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.
- F2Each Restricted Stock Unit represents the right to receive, at settlement, one (1) share of common stock, par value $0.001 per share.
- F3The 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.