0001619954-15-000028.txt : 20150904
0001619954-15-000028.hdr.sgml : 20150904
20150904150530
ACCESSION NUMBER: 0001619954-15-000028
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150903
FILED AS OF DATE: 20150904
DATE AS OF CHANGE: 20150904
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Inovalon Holdings, Inc.
CENTRAL INDEX KEY: 0001619954
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 471830316
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4321 COLLINGTON ROAD
CITY: BOWIE
STATE: MD
ZIP: 20716
BUSINESS PHONE: 301-809-4000
MAIL ADDRESS:
STREET 1: 4321 COLLINGTON ROAD
CITY: BOWIE
STATE: MD
ZIP: 20716
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hoffmann Andre S
CENTRAL INDEX KEY: 0001632867
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36841
FILM NUMBER: 151094449
MAIL ADDRESS:
STREET 1: C/O INOVALON HOLDINGS, INC.
STREET 2: 4321 COLLINGTON ROAD
CITY: BOWIE
STATE: MD
ZIP: 20716
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2015-09-03
0001619954
Inovalon Holdings, Inc.
INOV
0001632867
Hoffmann Andre S
4321 COLLINGTON ROAD
BOWIE
MD
20716
1
0
1
0
Class A Common Stock
2015-09-03
4
A
0
100000
21.6054
A
102698
D
The price reported in Column is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $21.34 to $21.765, inclusive. The reporting person undertakes to provide to issuer, any security holder of issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in footnote 1 to this Form 4.
This total does not include 21,211,326 shares of Class B Common Stock consisting of (i) 4,522,595 shares held directly by Mr. Hoffmann; (ii) 14,039,748 shares held by Lapis Ventures SAC Limited on behalf of Lapis Healthcare, in which Mr. Hoffmann has a direct pecuniary interest in 11,793,388 of such shares and an indirect pecuniary interest in an aggregate of 2,246,360 of such shares in which his children, who reside with him, have direct pecuniary interests; and (iii) 2,346,983 shares held by Lapis Ventures SAC Limited on behalf of Lapis Data, of which Mr. Hoffmann has a direct pecuniary interest in such shares. The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis (a) at the holder's option or (b) upon certain transfers of such shares, and has no expiration date.
/s/ Shauna L. Vernal, Attorney-in-Fact for Andre S. Hoffmann
2015-09-04