0001179110-18-008895.txt : 20180621 0001179110-18-008895.hdr.sgml : 20180621 20180621161140 ACCESSION NUMBER: 0001179110-18-008895 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180619 FILED AS OF DATE: 20180621 DATE AS OF CHANGE: 20180621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Olefson Jonathan CENTRAL INDEX KEY: 0001673025 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37787 FILM NUMBER: 18911967 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 2018-06-19 0 0001657197 Cotiviti Holdings, Inc. COTV 0001673025 Olefson Jonathan C/O COTIVITI HOLDINGS, INC. ONE GLENLAKE PARKWAY, SUITE 1400 ATLANTA GA 30328 0 1 0 0 SVP, Gen. Counsel, Secretary Common Stock, par value $0.001 per share 2018-06-19 4 M 0 20000 6.26 A 20884 D Common Stock, par value $0.001 per share 2018-06-19 4 S 0 20000 41.10 D 884 D Common Stock, par value $0.001 per share 4316 I By Trust Options (right to buy) 6.26 2018-06-19 4 M 0 20000 0 D 2023-11-01 Common Stock, par value $0.001 per share 20000 13200 D The sales reported in this Form 4 of securities held directly by the Reporting Person were effected pursuant to a 10b5-1 trading plan adopted by the Reporting Person on August 16, 2017. Held directly by The Arnold Olefson 2007 Personal Residence Trust, dated February 7, 2007, of which the Reporting Person serves as a Trustee. These options ("Performance Awards") vest based on 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 of these Performance Awards had vested as of September 30, 2016. /s/ Jonathan Olefson 2018-06-21