0001619954-21-000098.txt : 20210622 0001619954-21-000098.hdr.sgml : 20210622 20210622172043 ACCESSION NUMBER: 0001619954-21-000098 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210618 FILED AS OF DATE: 20210622 DATE AS OF CHANGE: 20210622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kohane Isaac Samuel CENTRAL INDEX KEY: 0001763710 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36841 FILM NUMBER: 211036300 MAIL ADDRESS: STREET 1: 4321 COLLINGTON ROAD CITY: BOWIE STATE: MD ZIP: 20716 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 4 1 wf-form4_162439682101779.xml FORM 4 X0306 4 2021-06-18 0 0001619954 Inovalon Holdings, Inc. INOV 0001763710 Kohane Isaac Samuel 4321 COLLINGTON ROAD BOWIE MD 20716 1 0 0 0 Class A Common Stock 2021-06-18 4 M 0 9165 A 34126 D Restricted Stock Unit 2021-06-18 4 M 0 9165 0 D Class A Common Stock 9165.0 0 D The reporting person elected to defer receipt of 100% of his shares until January 1, 2023. Each restricted stock unit represents a contingent right to receive one share of Inovalon Holdings, Inc. Class A Common Stock under the Amended and Restated 2015 Omnibus Incentive Plan. On June 18, 2020, the reporting person was granted 9,165 restricted stock units which vested in full on June 18, 2021. /s/ Kamyar Daneshvar, Attorney-in-Fact for Isaac Samuel Kohane 2021-06-22