0001140361-16-068648.txt : 20160603
0001140361-16-068648.hdr.sgml : 20160603
20160603215254
ACCESSION NUMBER: 0001140361-16-068648
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160525
FILED AS OF DATE: 20160603
DATE AS OF CHANGE: 20160603
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cotiviti Holdings, Inc.
CENTRAL INDEX KEY: 0001657197
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 460595918
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 115 PERIMETER CENTER PLACE
STREET 2: SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
BUSINESS PHONE: 770 379-2800
MAIL ADDRESS:
STREET 1: 115 PERIMETER CENTER PLACE
STREET 2: SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Present Douglas
CENTRAL INDEX KEY: 0001673014
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37787
FILM NUMBER: 161697356
MAIL ADDRESS:
STREET 1: C/O COTIVITI HOLDINGS, INC.
STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
3/A
1
doc1.xml
FORM 3/A
X0206
3/A
2016-05-25
2016-05-25
0
0001657197
Cotiviti Holdings, Inc.
COTV
0001673014
Present Douglas
C/O COTIVITI HOLDINGS, INC.
115 PERIMETER CENTER PLACE, SUITE 700
ATLANTA
GA
30346
1
0
0
0
Options (right to buy)
6.26
2023-11-01
Common Stock, par value $0.001 per share
61580
D
Options (right to buy)
6.26
2023-11-01
Common Stock, par value $0.001 per share
11895
D
52,658 of these options have vested and are immediately exercisable. The remaining 8,922 of these options vest and become exercisable in equal annual installments of 33 1/3% of the shares over a three-year period on each anniversary of November 01, 2015, subject to the Reporting Person's continued service through each applicable vesting date.
These options ("Performance Awards") vest based on upon the weighted average price of the Issuer's common stock for any fiscal quarter exceeding a value that shall be calculated by the Issuer at the end of each such fiscal quarter in accordance with Stock Option Award Agreement pursuant to which such Performance Awards were granted, subject to the Reporting Person's continued service through each applicable vesting date. All, or a portion of, the Performance Awards may vest as early as September 30, 2016.
Options that the Reporting Person forfeited in November 2014 were incorrectly included in the Reporting Person's original Form 3. In connection with such forfeiture, the vesting schedule of certain of the Reporting Person's options was accelerated, which such acceleration was not reported in the Reporting Person's original Form 3.
/s/ Jonathan Olefson, attorney-in-fact
2016-06-03