Filing Details

Accession Number:
0001179110-17-011464
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-08-14 17:23:24
Reporting Period:
2017-08-10
Filing Date:
2017-08-14
Accepted Time:
2017-08-14 17:23:24
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
1673364 Connolly Elizabeth Alexander 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 2017-08-10 742,349 $37.00 305,747 No 4 S Indirect By limited liability company
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect By limited liability company
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, Par Value $0.001 Per Share 1,614,413 Direct
Common Stock, Par Value $0.001 Per Share 402,363 Indirect By family trust for son
Common Stock, Par Value $0.001 Per Share 402,373 Indirect By family trust for daughter
Common Stock, Par Value $0.001 Per Share 402,373 Indirect By family trust for daughter
Footnotes
  1. The shares were sold in a registered underwritten secondary offering pursuant to an underwriting agreement entered into on August 7, 2017.
  2. Represents public offering price of $37.00 per share.
  3. These shares are held by Milton Harbor View, LLC, of which the Reporting Person and her spouse are the sole managers and of which she is a member. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of her pecuniary interest therein.
  4. Held directly by a family irrevocable trust of which a son of the Reporting Person is the beneficiary, and of which the trustees are an institution and the Reporting Person's spouse. 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. Held directly by a family irrevocable trust of which a daughter of the Reporting Person is the beneficiary, and of which the trustees are an institution and the Reporting Person's spouse. 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.
  6. Held directly by a family irrevocable trust of which a daughter of the Reporting Person is the beneficiary, and of which the trustees are an institution and the Reporting Person's spouse. 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.