0001179110-18-005632.txt : 20180413 0001179110-18-005632.hdr.sgml : 20180413 20180413161201 ACCESSION NUMBER: 0001179110-18-005632 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180411 FILED AS OF DATE: 20180413 DATE AS OF CHANGE: 20180413 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: 18754436 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 2018-04-11 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 2018-04-11 4 M 0 15000 13.79 A 2769996 D Common Stock, par value $0.001 2018-04-11 4 S 0 15000 34.01 D 2754996 D Common Stock, par value $0.001 2018-04-12 4 M 0 15000 13.79 A 2769996 D Common Stock, par value $0.001 2018-04-12 4 S 0 15000 34.35 D 2754996 D Options (right to buy) 13.79 2018-04-11 4 M 0 15000 0 A 2025-07-01 Common Stock, par value $0.001 15000 105000 D Options (right to buy) 13.79 2018-04-12 4 M 0 15000 0 A 2025-07-01 Common Stock, par value $0.001 15000 90000 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 $33.47 to $34.19, 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 $34.06 to $34.55, 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 2018-04-13