0001179110-17-008437.txt : 20170602
0001179110-17-008437.hdr.sgml : 20170602
20170602161740
ACCESSION NUMBER: 0001179110-17-008437
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170601
FILED AS OF DATE: 20170602
DATE AS OF CHANGE: 20170602
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: Alexander Elizabeth Connolly
CENTRAL INDEX KEY: 0001673364
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37787
FILM NUMBER: 17888167
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
2017-06-01
0
0001657197
Cotiviti Holdings, Inc.
COTV
0001673364
Alexander Elizabeth Connolly
C/O COTIVITI HOLDINGS, INC.
115 PERIMETER CENTER PLACE, SUITE 700
ATLANTA
GA
30346
1
0
0
0
Restricted Stock Units
2017-06-01
4
A
0
4189
0
A
Common Stock, par value $0.001
4189
4189
D
Each Restricted Stock Unit represents the right to receive, at settlement, one (1) share of Common Stock, par value $0.001 per share.
The Restricted Stock Units vest on the date of Cotiviti Holdings, Inc.'s first annual meeting of stockholders following the date of grant, June 1, 2017, subject to the Reporting Person's continued service through the vesting date.
/s/ Jonathan Olefson, attorney-in-fact
2017-06-02