Sec Form 4 Filing - Ratliff John D @ Quintiles Transnational Holdings Inc. - 2013-11-18

FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person Ratliff John D 2. Issuer Name and Ticker or Trading Symbol Quintiles Transnational Holdings Inc. [ Q] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director _____ 10% Owner X __ Officer (give title below) _____ Other (specify below) President and COO (Last) (First) (Middle) C/O QUINTILES TRANSNATIONAL HOLDINGS INC, 4820 EMPEROR BLVD. 3. Date of Earliest Transaction (MM/DD/YY) 11/18/2013 (Street) DURHAM, NC27703 4. If Amendment, Date Original Filed (MM/DD/YY) 6. Individual or Joint/Group Filing (Check Applicable Line) __ X __ Form filed by One Reporting Person _____ Form filed by More than One Reporting Person (City) (State) (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1.Title of Security (Instr. 3) 2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common Stock 11/18/2013 X 75,000 A $ 6.61 75,000 D Common Stock 11/18/2013 X 40,000 A $ 5.76 115,000 D Common Stock 11/18/2013 S 115,000 D $ 42.55 0 D Common Stock 11/18/2013 S 97,140 D $ 42.55 0 I By Trust ( 1 ) Common Stock 182,860 I By Trust ( 2 )

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) 6. Date Exercisable and Expiration Date (MM/DD/YY) 7. Title and Amount of Underlying Securi ties (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4) Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares Employee Stock Option (Right to Buy) $ 6.61 11/18/2013 X 75,000 ( 3 ) 04/01/2016 Common Stock 75,000 $ 0 0 D Employee Stock Option (Right to Buy) $ 5.76 11/18/2013 X 40,000 ( 4 ) 10/01/2016 Common Stock 40,000 $ 0 0 D

Reporting Owners Reporting Owner Name / Address Relationships Director 10% Owner Officer Other Ratliff John D C/O QUINTILES TRANSNATIONAL HOLDINGS INC 4820 EMPEROR BLVD. DURHAM, NC27703 President and COO Signatures /s/ James Erlinger III, Attorney-in-Fact for John D. Ratliff 11/19/2013 Signature of Reporting Person Date

Explanation of Responses:

( 1 )The reporting person is a trustee of the John David Ratliff Revocable Declaration of Trust u/a/d 9/16/05, as amended and restated by first amendment u/a/d 1/31/12, and any further amendment thereto, which trust held the shares. The reporting person disclaims beneficial ownership of the shares held by such trust except to the extent of his pecuniary interest therein. ( 2 )The reporting person is a trustee of the John David Ratliff 2012 Irrevocable Trust, which trust holds the shares. The reporting person disclaims beneficial ownership of the shares held by such trust except to the extent of his pecuniary interest therein. ( 3 )Options granted to the reporting person under the Quintiles Transnational Holdings Inc. 2003 Stock Incentive Plan to purchase a total of 75,000 shares of Quintiles Transnational Holdings Inc. common stock, of which 15,000 vested on each of April 1, 2007, 2008, 2009, 2010, and 2011. ( 4 )Options granted to the reporting person under the Quintiles Transnational Holdings Inc. 2003 Stock Incentive Plan to purchase a total of 40,000 shares of Quintiles Transnational Holdings Inc. common stock, which vested on October 1, 2011.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

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