0001179110-17-008108.txt : 20170526
0001179110-17-008108.hdr.sgml : 20170526
20170526163546
ACCESSION NUMBER: 0001179110-17-008108
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: King-Shaw Ruben Jose JR
CENTRAL INDEX KEY: 0001295959
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37787
FILM NUMBER: 17874457
MAIL ADDRESS:
STREET 1: 465 BRICKELL AVENUE #4203
CITY: MIAMI
STATE: FL
ZIP: 33131
4
1
edgar.xml
FORM 4 -
X0306
4
2017-05-25
0
0001657197
Cotiviti Holdings, Inc.
COTV
0001295959
King-Shaw Ruben Jose JR
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
2017-05-25
4
M
0
3689
A
3689
D
Restricted Stock Units
2017-05-25
4
M
0
3689
0
D
Common Stock, par value $0.001 per share
3689
0
D
Restricted Stock Units convert into Common Stock on a one-for-one basis.
On September 1, 2016, the Reporting Person was granted 3,689 Restricted Stock Units all of which vested on May 25, 2017, the date of Cotiviti Holdings, Inc.'s first annual meeting following the date of grant.
/s/ Jonathan Olefson, attorney-in-fact
2017-05-26