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