0001179110-17-013350.txt : 20171018
0001179110-17-013350.hdr.sgml : 20171018
20171018162718
ACCESSION NUMBER: 0001179110-17-013350
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171016
FILED AS OF DATE: 20171018
DATE AS OF CHANGE: 20171018
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: 171142883
MAIL ADDRESS:
STREET 1: C/O COTIVITI HOLDINGS, INC.
STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
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
4
1
edgar.xml
FORM 4 -
X0306
4
2017-10-16
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
2017-10-16
4
M
0
5000
11.33
A
43133
D
Common Stock, par value $0.001
2017-10-16
4
S
0
5000
35.00
D
38133
D
Options (right to buy)
11.33
2017-10-16
4
M
0
5000
0
D
2024-09-26
Common Stock, par value $0.001
5000
141400
D
The sales reported in this Form 4 were effected pursuant to a 10b5-1 trading plan adopted by the Reporting Person on August 25, 2017.
87,840 of these options had vested as of September 26, 2017. The remaining 58,560 options vest and become exercisable in equal annual installments of 50% of the shares on September 26, 2018, and September 26, 2019, subject to the Reporting Person's continued service through each applicable vesting date.
/s/ Jonathan Olefson, attorney-in-fact
2017-10-18