0001619954-21-000132.txt : 20211112 0001619954-21-000132.hdr.sgml : 20211112 20211112062138 ACCESSION NUMBER: 0001619954-21-000132 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211110 FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boldt Jonathan R CENTRAL INDEX KEY: 0001735314 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36841 FILM NUMBER: 211399155 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_163671608428508.xml FORM 4 X0306 4 2021-11-10 0 0001619954 Inovalon Holdings, Inc. INOV 0001735314 Boldt Jonathan R 4321 COLLINGTON ROAD BOWIE MD 20716 0 1 0 0 Chief Financial Officer Class A Common Stock 2021-11-10 4 F 0 556 40.77 D 264558 D Shares withheld by Issuer to satisfy reporting person's tax withholding obligations upon delivery of stock. /s/ Kamyar Daneshvar, Attorney-in-Fact for Jonathan R. Boldt 2021-11-12