0001179110-18-001485.txt : 20180205
0001179110-18-001485.hdr.sgml : 20180205
20180205162219
ACCESSION NUMBER: 0001179110-18-001485
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180201
FILED AS OF DATE: 20180205
DATE AS OF CHANGE: 20180205
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: 18574461
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
2018-02-01
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
2018-02-01
4
M
0
1817
A
39950
D
Common Stock, par value $0.001 per share
2018-02-01
4
F
0
525
34.70
D
39425
D
Options (right to buy)
34.70
2018-02-01
4
A
0
50927
34.70
A
2028-02-01
Common Stock, par value $0.001
50927
50927
D
Restricted Stock Units
2018-02-01
4
A
0
20371
0
A
Common Stock, par value $0.001
20371
20371
D
Restricted Stock Units
2018-02-01
4
M
0
1817
0
D
Common Stock, par value $0.001
1817
5453
D
Restricted Stock Units convert into Common Stock on a one-for-one basis.
These options vest and become exercisable in equal annual installments of 25% of the shares over a 4-year period on each anniversary date of the grant, February 1, 2018, subject to the Reporting Person's continued service through each applicable vesting date.
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 in equal annual installments of 25% of the shares over a 4-year period on each anniversary date of the grant, February 1, 2018, subject to the Reporting Person's continued service through each applicable vesting date.
On February 1, 2017, the Reporting Person was granted 7,270 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
2018-02-05