0001179110-17-006032.txt : 20170418 0001179110-17-006032.hdr.sgml : 20170418 20170418162336 ACCESSION NUMBER: 0001179110-17-006032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170417 FILED AS OF DATE: 20170418 DATE AS OF CHANGE: 20170418 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Present Douglas CENTRAL INDEX KEY: 0001673014 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37787 FILM NUMBER: 17767232 MAIL ADDRESS: STREET 1: C/O COTIVITI HOLDINGS, INC. STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700 CITY: ATLANTA STATE: GA ZIP: 30346 4 1 edgar.xml FORM 4 - X0306 4 2017-04-17 0 0001657197 Cotiviti Holdings, Inc. COTV 0001673014 Present Douglas C/O COTIVITI HOLDINGS, INC. 115 PERIMETER CENTER PLACE, SUITE 700 ATLANTA GA 30346 1 0 0 0 Common Stock, par value $0.001 per share 2017-04-17 4 M 0 15000 6.26 A 15000 D Common Stock, par value $0.001 per share 2017-04-17 4 S 0 15000 41.29 D 0 D Options (right to buy) 6.26 2017-04-17 4 M 0 15000 0 A 2023-11-01 Common Stock, par value $0.001 15000 8304 D The sales reported in this Form 4 were effected pursuant to a 10b5-1 trading plan adopted by the Reporting Person on December 12, 2016. The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $40.94 to $41.78, inclusive. The Reporting Person undertakes to provide upon request to Cotiviti Holdings, Inc., any security holder of Cotiviti Holdings, Inc. or to the staff of the Securities and Exchange Commission, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (2). 17,357 of these options had vested as of November 01, 2016. The remaining 5,947 options vest and become exercisable in equal annual installments of 50% of the shares on November 01, 2017, and November 01, 2018, subject to the Reporting Person's continued service through each applicable vesting date. /s/ Jonathan Olefson, attorney-in-fact 2017-04-18