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