0001179110-16-030771.txt : 20161018 0001179110-16-030771.hdr.sgml : 20161018 20161018173932 ACCESSION NUMBER: 0001179110-16-030771 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161018 FILED AS OF DATE: 20161018 DATE AS OF CHANGE: 20161018 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: Senneff Steve CENTRAL INDEX KEY: 0001672957 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37787 FILM NUMBER: 161941523 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 edgar.xml FORM 3/A - X0206 3/A 2016-10-18 2016-05-25 0 0001657197 Cotiviti Holdings, Inc. COTV 0001672957 Senneff Steve C/O COTIVITI HOLDINGS, INC. 115 PERIMETER CENTER PLACE, SUITE 700 ATLANTA GA 30346 0 1 0 0 SVP and CFO Options (right to buy) 6.26 2022-10-15 Common Stock, par value $0.001 per share 146400 D Options (right to buy) 6.26 2022-10-15 Common Stock, par value $0.001 per share 146400 D These options vest and become exercisable in equal annual installments of 20% of the shares over a 5-year period on each anniversary of October 15, 2012, subject to the Reporting Person's continued service through each applicable vesting date. The footnote in the Reporting Person's original Form 3 incorrectly described the vesting schedule for the Reporting Person's options. The expiration date in the Reporting Person's original Form 3 was incorrectly reported. These options ("Performance Awards") vest based 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. This amendment (this "Form 3/A") restates the Reporting Person's original Form 3 except to correct the information identified in footnotes 2 and 3 of this Form 3/A. Except for the foregoing, no new, revised or updated holdings are being reported. /s/ Jonathan Olefson, attorney-in-fact 2016-10-18