0001140361-18-025695.txt : 20180525 0001140361-18-025695.hdr.sgml : 20180525 20180525130503 ACCESSION NUMBER: 0001140361-18-025695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180524 FILED AS OF DATE: 20180525 DATE AS OF CHANGE: 20180525 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: 18860838 MAIL ADDRESS: STREET 1: C/O ALLSCRIPTS HEALTCHARE SOLUTIONS STREET 2: 2401 COMMERCE DR CITY: LIBERTYVILLE STATE: IL ZIP: 60048 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 4 1 doc1.xml FORM 4 X0306 4 2018-05-24 0 0000704415 TIVITY HEALTH, INC. TVTY 0001213350 SHAPIRO LEE 701 COOL SPRINGS BOULEVARD FRANKLIN TN 37067 1 0 0 0 Common Stock 2018-05-24 4 A 0 2876 0 A 26091 D Reflects restricted stock units that vest on the earlier of (i) the first anniversary of the Grant Date (such Grant Date being 5/24/2018), or (ii) the first annual meeting of the stockholders of Tivity Health that occurs after the Grant Date. /s/ Mary Flipse by power of attorney for Lee Shapiro 2018-05-25