0001619954-15-000036.txt : 20151110 0001619954-15-000036.hdr.sgml : 20151110 20151109122318 ACCESSION NUMBER: 0001619954-15-000036 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151105 FILED AS OF DATE: 20151109 DATE AS OF CHANGE: 20151109 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: Rizzo Daniel L CENTRAL INDEX KEY: 0001632874 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36841 FILM NUMBER: 151214795 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 2015-11-05 0001619954 Inovalon Holdings, Inc. INOV 0001632874 Rizzo Daniel L 4321 COLLINGTON ROAD BOWIE MD 20716 0 1 0 0 Chief Innovation Officer Class A Common Stock 2015-11-05 4 C 0 458765 0 A 458765 I By Trust Class A Common Stock 2015-11-07 4 C 0 12500 0 A 372500 D Class B Common Stock 2015-11-05 4 C 0 458765 0 D Class A Common Stock 458765 0 I By Trust Class B Common Stock 2015-11-07 4 C 0 12500 0 D Class A Common Stock 12500 3157900 D Shares owned by an irrevocable charitable trust, with an unrelated trustee, over which Mr. Rizzo maintains dispositive control. 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. The holder elected to convert the shares of Class B Common Stock into shares of Class A Common Stock on a 1-for-1 basis. /s/ Shauna L. Vernal, Attorney-in-Fact for Daniel L. Rizzo 2015-11-09