0001179110-17-008122.txt : 20170526
0001179110-17-008122.hdr.sgml : 20170526
20170526164106
ACCESSION NUMBER: 0001179110-17-008122
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170525
FILED AS OF DATE: 20170526
DATE AS OF CHANGE: 20170526
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: Senneff Steve
CENTRAL INDEX KEY: 0001672957
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37787
FILM NUMBER: 17874549
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
2017-05-25
0
0001657197
Cotiviti Holdings, Inc.
COTV
0001672957
Senneff Steve
C/O COTIVITI HOLDINGS, INC.
115 PERIMETER CENTER PLACE, SUITE 700
ATLANTA
GA
30346
0
1
0
0
SVP and CFO
Common Stock, par value $0.001 per share
2017-05-25
4
M
0
953
A
23560
D
Common Stock, par value $0.001 per share
2017-05-25
4
F
0
328
39.39
D
23232
D
Restricted Stock Units
2017-05-25
4
M
0
953
0
D
Common Stock, par value $0.001 per share
953
2860
D
Restricted Stock Units convert into Common Stock on a one-for-one basis.
On May 25, 2016, the Reporting Person was granted 3,813 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.
/s/ Jonathan Olefson, attorney-in-fact
2017-05-26