0001179110-17-008124.txt : 20170526
0001179110-17-008124.hdr.sgml : 20170526
20170526164135
ACCESSION NUMBER: 0001179110-17-008124
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170525
FILED AS OF DATE: 20170526
DATE AS OF CHANGE: 20170526
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: Beaulieu David
CENTRAL INDEX KEY: 0001673104
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37787
FILM NUMBER: 17874556
MAIL ADDRESS:
STREET 1: C/O COTIVITI HOLDINGS, INC.
STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
4
1
edgar.xml
FORM 4 -
X0306
4
2017-05-25
0
0001657197
Cotiviti Holdings, Inc.
COTV
0001673104
Beaulieu David
C/O COTIVITI HOLDINGS, INC.
115 PERIMETER CENTER PLACE, SUITE 700
ATLANTA
GA
30346
0
1
0
0
SVP and COO
Common Stock, par value $0.001 per share
2017-05-25
4
M
0
477
A
38297
D
Common Stock, par value $0.001 per share
2017-05-25
4
F
0
164
39.39
D
38133
D
Restricted Stock Units
2017-05-25
4
M
0
477
0
D
Common Stock, par value $0.001 per share
477
1429
D
Restricted Stock Units convert into Common Stock on a one-for-one basis.
On May 25, 2016, the Reporting Person was granted 1,906 Restricted Stock Units, vesting in equal annual installments of 25% over a 4-year period on each anniversary date of the date of the grant, subject to the Reporting Person's continued service through each applicable vesting date.
/s/ Jonathan Olefson, attorney-in-fact
2017-05-26