Filing Details

Accession Number:
0001179110-17-004572
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-03-14 17:31:13
Reporting Period:
2017-03-13
Filing Date:
2017-03-14
Accepted Time:
2017-03-14 17:31:13
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1657197 Cotiviti Holdings Inc. COTV Services-Business Services, Nec (7389) 460595918
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1672996 Lawrence Connolly C/O Cotiviti Holdings, Inc.
115 Perimeter Center Place, Suite 700
Atlanta GA 30346
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $0.001 Per Share Disposition 2017-03-13 483,086 $36.00 1,322,164 No 4 S Indirect By family trust for daughter
Common Stock, Par Value $0.001 Per Share Disposition 2017-03-13 483,088 $36.00 1,322,162 No 4 S Indirect By family trust for son
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect By family trust for daughter
No 4 S Indirect By family trust for son
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, Par Value $0.001 Per Share 3,468,906 Indirect By limited liability company
Footnotes
  1. The shares were sold in a registered underwritten secondary offering pursuant to an underwriting agreement entered into on March 7, 2017.
  2. Represents public offering price of $36.00 per share.
  3. Held directly by a family irrevocable trust of which the daughter of the Reporting Person is the beneficiary, and of which the Reporting Person is the trustee. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
  4. Held directly by a family irrevocable trust of which the son of the Reporting Person is the beneficiary, and of which the Reporting Person is the trustee. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
  5. These shares are held by JL Connolly LLC, of which Mr. Connolly is a member and is the sole manager. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that he is the beneficial owner of such shares for purposes of Section 16 or for any other purpose.