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