0001179110-18-000875.txt : 20180116
0001179110-18-000875.hdr.sgml : 20180116
20180116162622
ACCESSION NUMBER: 0001179110-18-000875
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180111
FILED AS OF DATE: 20180116
DATE AS OF CHANGE: 20180116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Williams J Douglas
CENTRAL INDEX KEY: 0001672964
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37787
FILM NUMBER: 18528863
MAIL ADDRESS:
STREET 1: C/O COTIVITI HOLDINGS, INC.
STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
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
edgar.xml
FORM 4 -
X0306
4
2018-01-11
0
0001657197
Cotiviti Holdings, Inc.
COTV
0001672964
Williams J Douglas
C/O COTIVITI HOLDINGS, INC.
115 PERIMETER CENTER PLACE, SUITE 700
ATLANTA
GA
30346
1
1
0
0
CEO and Director
Common Stock, par value $0.001
2018-01-11
4
M
0
15000
13.79
A
2766660
D
Common Stock, par value $0.001
2018-01-11
4
S
0
15000
34.03
D
2751660
D
Common Stock, par value $0.001
2018-01-12
4
M
0
15000
13.79
A
2766660
D
Common Stock, par value $0.001
2018-01-12
4
S
0
15000
33.90
D
2751660
D
Options (right to buy)
13.79
2018-01-11
4
M
0
15000
0
D
2025-07-01
Common Stock, par value $0.001
15000
285000
D
Options (right to buy)
13.79
2018-01-12
4
M
0
15000
0
D
2025-07-01
Common Stock, par value $0.001
15000
270000
D
The sales reported in this Form 4 were effected pursuant to a 10b5-1 trading plan adopted by the Reporting Person on March 9, 2017.
The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $33.46 to $34.34, 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).
The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $33.64 to $34.29, 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 (3).
These options vested in full on May 26, 2016, the closing date of Cotiviti Holdings, Inc.'s initial public offering.
/s/ Jonathan Olefson, Attorney-in-fact
2018-01-16