0001140361-17-022650.txt : 20170530 0001140361-17-022650.hdr.sgml : 20170529 20170530105639 ACCESSION NUMBER: 0001140361-17-022650 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170525 FILED AS OF DATE: 20170530 DATE AS OF CHANGE: 20170530 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TIVITY HEALTH, INC. CENTRAL INDEX KEY: 0000704415 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 621117144 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 701 COOL SPRINGS BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 6156144929 MAIL ADDRESS: STREET 1: 701 COOL SPRINGS BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 FORMER COMPANY: FORMER CONFORMED NAME: HEALTHWAYS, INC. DATE OF NAME CHANGE: 20170104 FORMER COMPANY: FORMER CONFORMED NAME: TIVITY HEALTH, INC DATE OF NAME CHANGE: 20161230 FORMER COMPANY: FORMER CONFORMED NAME: HEALTHWAYS, INC DATE OF NAME CHANGE: 20060201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHAPIRO LEE CENTRAL INDEX KEY: 0001213350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 17875999 MAIL ADDRESS: STREET 1: C/O ALLSCRIPTS HEALTCHARE SOLUTIONS STREET 2: 2401 COMMERCE DR CITY: LIBERTYVILLE STATE: IL ZIP: 60048 4 1 doc1.xml FORM 4 X0306 4 2017-05-25 0 0000704415 TIVITY HEALTH, INC. TVTY 0001213350 SHAPIRO LEE 701 COOL SPRINGS BOULEVARD FRANKLIN TN 37067 1 0 0 0 Common Stock 2017-05-25 4 A 0 3012 0 A 23215 D Reflects restricted stock units that vest on 5/25/2018. /s/ Mary Flipse by power of attorney for Lee Shapiro 2017-05-30