0001209191-18-048793.txt : 20180829 0001209191-18-048793.hdr.sgml : 20180829 20180829161841 ACCESSION NUMBER: 0001209191-18-048793 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180827 FILED AS OF DATE: 20180829 DATE AS OF CHANGE: 20180829 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADVENT INTERNATIONAL CORP/MA CENTRAL INDEX KEY: 0001034196 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37787 FILM NUMBER: 181044518 BUSINESS ADDRESS: STREET 1: 800 BOYLSTON STREET SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 6179510555 MAIL ADDRESS: STREET 1: 800 BOYLSTON STREET SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Advent-Cotiviti Acquisition Limited Partnership CENTRAL INDEX KEY: 0001675002 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37787 FILM NUMBER: 181044519 BUSINESS ADDRESS: STREET 1: 800 BOYLSTON STREET, SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 617-951-9400 MAIL ADDRESS: STREET 1: 800 BOYLSTON STREET, SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Advent-Cotiviti Acquisition II Limited Partnership CENTRAL INDEX KEY: 0001675440 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37787 FILM NUMBER: 181044520 BUSINESS ADDRESS: STREET 1: 800 BOYLSTON STREET, SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 617-951-9400 MAIL ADDRESS: STREET 1: 800 BOYLSTON STREET, SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Advent-Cotiviti GP Corp CENTRAL INDEX KEY: 0001675037 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37787 FILM NUMBER: 181044521 BUSINESS ADDRESS: STREET 1: 800 BOYLSTON STREET, SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 617-951-9400 MAIL ADDRESS: STREET 1: 800 BOYLSTON STREET, SUITE 3300 CITY: BOSTON STATE: MA ZIP: 02199 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cotiviti Holdings, Inc. CENTRAL INDEX KEY: 0001657197 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 460595918 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 115 PERIMETER CENTER PLACE STREET 2: SUITE 700 CITY: ATLANTA STATE: GA ZIP: 30346 BUSINESS PHONE: 770 379-2800 MAIL ADDRESS: STREET 1: 115 PERIMETER CENTER PLACE STREET 2: SUITE 700 CITY: ATLANTA STATE: GA ZIP: 30346 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-08-27 1 0001657197 Cotiviti Holdings, Inc. COTV 0001034196 ADVENT INTERNATIONAL CORP/MA C/O ADVENT INTERNATIONAL CORPORATION 800 BOYLSTON STREET BOSTON MA 02199 0 0 1 0 0001675002 Advent-Cotiviti Acquisition Limited Partnership C/O ADVENT INTERNATIONAL CORPORATION 800 BOYLSTON STREET BOSTON MA 02199 0 0 1 0 0001675440 Advent-Cotiviti Acquisition II Limited Partnership C/O ADVENT INTERNATIONAL CORPORATION 800 BOYLSTON STREET BOSTON MA 02199 0 0 1 0 0001675037 Advent-Cotiviti GP Corp C/O ADVENT INTERNATIONAL CORPORATION 800 BOYLSTON STREET BOSTON MA 02199 0 0 1 0 Common Stock 2018-08-27 4 J 0 41433699 44.75 D 0 I See Footnotes Disposed of pursuant to the Agreement and Plan of Merger (the "Merger Agreement") among Verscend Technologies, Inc., Rey Merger Sub, Inc. and Cotiviti Holdings, Inc. (the "Issuer") dated as of June 19, 2018. At the effective time of the merger (the "Effective Time") as contemplated in the Merger Agreement, each share of outstanding Issuer common stock immediately prior to the Effective Time was cancelled in exchange for $44.75 per share. Represents 17,778,618 shares which were held directly by Advent-Cotiviti Acquisition Limited Partnership ("ACA LP"), 18,817,920 shares which were held directly by Advent-Cotiviti Acquisition II Limited Partnership ("ACA II LP"), 918,209 shares which were directly owned by Advent International GPE VI-C Limited Partnership ("AI GPE VI-C"), 875,864 shares which were directly owned by Advent International GPE VI-D Limited Partnership ("AI GPE VI-D"), 2,215,460 shares which were directly owned by Advent International GPE VI-E Limited Partnership ("AI GPE VI-E"), 651,453 shares which were directly owned by Advent Partners GPE VI 2008 Limited Partnership ("AP GPE VI 2008"), TO BE CONTINUED IN NEXT FOOTNOTE CONTINUTED FROM PREVIOUS FOOTNOTE: 19,762 shares which were directly owned by Advent Partners GPE VI 2009 Limited Partnership ("AP GPE VI 2009"), 46,608 shares which were directly owned by Advent Partners GPE VI 2010 Limited Partnership ("AP GPE VI 2010"), 51,762 shares which were directly owned by Advent Partners GPE VI-A 2010 Limited Partnership ("AP GPE VI-A 2010") and 58,043 shares which were directly owned by Advent Partners GPE VI-A Limited Partnership ("AP GPE VI-A"). Advent International Corporation ("AIC") is the manager of Advent International LLC ("AILLC"), which is the general partner of each of GPE VI GP Limited Partnership ("GPE VI GP"), GPE VI GP (Delaware) Limited Partnership ("GPE VI (DE) GP"), AP GPE VI 2008, AP GPE VI 2009, AP GPE VI 2010, AP GPE VI-A and AP GPE VI-A 2010 (AP GPE VI 2008, AP GPE VI 2009, AP GPE VI 2010, AP GPE VI-A and AP GPE VI-A 2010 are collectively the "AP Funds"). Advent-Cotiviti GP Corporation ("AC GP") is the general partner of ACA LP and ACA II LP. Advent International GPE VI Limited Partnership ("AI GPE VI"), Advent International GPE VI-A Limited Partnership ("AI GPE VI-A"), Advent International GPE VI-B Limited Partnership ("AI GPE VI-B"), Advent International GPE VI-F Limited Partnership ("AI GPE VI-F") and Advent International GPE VI-G Limited Partnership ("AI GPE VI-G" and, together with AI GPE VI, AI GPE VI-A, AI GPE VI-B and AI GPE VI-F, the "GPE VI GP Funds") collectively own 100% of AC GP. AI GPE VI owns 100% of the limited partnership interests in ACA LP and the other GPE VI GP Funds collectively own 100% of the limited partnership interests in ACA II LP. GPE VI GP is the general partner of the GPE VI GP Funds. GPE VI (DE) GP is the general partner of AI GPE VI-C, AI GPE VI-D and AI GPE VI-E (collectively, the "GPE VI (DE) GP Funds" and together with the GPE VI GP Funds and the AP Funds, the "Advent Funds"). Each of AIC, AILLC, GPE VI GP, GPE VI (DE) GP, ACA LP, ACA II LP, AC GP and the Advent Funds are referred to herein as the "Reporting Persons". Each Reporting Person disclaims Section 16 beneficial ownership of the shares reported herein except to the extent of its respective pecuniary interest therein, if any, and the inclusion of these shares in their report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or any other purpose. This Form 4 is the third and final of three Forms 4 being filed relating to the same event. The Form 4 has been split into three filings because there are more than 10 Reporting Persons in total, and the SEC's EDGAR filing system limits a single Form 4 to a maximum of 10 Reporting Persons. Each Form 4 will be filed by Designated Filer Advent International Corporation. /s/ Richard Terranova, Attorney-in-Fact for Advent International Corp 2018-08-29 /s/ Richard Terranova, Attorney-in-Fact for Advent-Cotiviti Acquisition Limited Partnership 2018-08-29 /s/ Richard Terranova, Attorney-in-Fact for Advent-Cotiviti Acquisition II Limited Partnership 2018-08-29 /s/ Richard Terranova, Attorney-in-Fact for Advent-Cotiviti GP Corporation 2018-08-29