Home/Filings/4/0001179110-17-008112
4//SEC Filing

Cotiviti Holdings, Inc. 4

Accession 0001179110-17-008112

CIK 0001657197operating

Filed

May 25, 8:00 PM ET

Accepted

May 26, 4:36 PM ET

Size

11.7 KB

Accession

0001179110-17-008112

Insider Transaction Report

Form 4
Period: 2017-05-25
Transactions
  • Exercise/Conversion

    Common Stock, par value $0.001 per share

    2017-05-25+4,9191,614,413 total
  • Exercise/Conversion

    Restricted Stock Units

    2017-05-254,9190 total
    Common Stock, par value $0.001 per share (4,919 underlying)
Holdings
  • Common Stock, par value $0.001 per share

    (indirect: By Trust)
    402,363
  • Common Stock, par value $0.001 per share

    (indirect: By Trust)
    402,373
  • Common Stock, par value $0.001 per share

    (indirect: By Trust)
    402,373
  • Common Stock, par value $0.001 per share

    (indirect: By limited liability company)
    1,048,096
Footnotes (6)
  • [F1]Restricted Stock Units convert into Common Stock on a one-for-one basis.
  • [F2]Held directly by a family irrevocable trust of which a son of the Reporting Person is the beneficiary, and of which the trustees are an institution and the Reporting Person's spouse. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
  • [F3]Held directly by a family irrevocable trust of which a daughter of the Reporting Person is the beneficiary, and of which the trustees are an institution and the Reporting Person's spouse. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
  • [F4]Held directly by a family irrevocable trust of which a daughter of the Reporting Person is the beneficiary, and of which the trustees are an institution and the Reporting Person's spouse. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
  • [F5]These shares are held by Milton Harbor View, LLC, of which the Reporting Person and her spouse are the sole managers and of which she is a member. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of her pecuniary interest therein.
  • [F6]On September 1, 2016, the Reporting Person was granted 4,919 Restricted Stock Units, all of which vested on May 25, 2017, the date of Cotiviti Holdings, Inc.'s first annual meeting following the date of grant.

Issuer

Cotiviti Holdings, Inc.

CIK 0001657197

Entity typeoperating
IncorporatedDE

Related Parties

1
  • filerCIK 0001657197

Filing Metadata

Form type
4
Filed
May 25, 8:00 PM ET
Accepted
May 26, 4:36 PM ET
Size
11.7 KB