0001567619-20-006133.txt : 20200311
0001567619-20-006133.hdr.sgml : 20200311
20200311190508
ACCESSION NUMBER: 0001567619-20-006133
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200309
FILED AS OF DATE: 20200311
DATE AS OF CHANGE: 20200311
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Janicak Steven
CENTRAL INDEX KEY: 0001747699
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19364
FILM NUMBER: 20706738
MAIL ADDRESS:
STREET 1: 701 COOL SPRINGS BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
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
2020-03-09
0
0000704415
TIVITY HEALTH, INC.
TVTY
0001747699
Janicak Steven
701 COOL SPRINGS BLVD.
FRANKLIN
TN
37067
0
1
0
0
Division President, Healthcare
Common Stock
2020-03-09
4
A
0
53846
13.00
A
84569
D
Represents a retention award of restricted stock units ("RSUs") that will vest according to the following schedule: two-thirds (2/3) of the RSUs will vest on March 9, 2021 and one-third (1/3) of the RSUs will vest on September 9, 2021.
/s/ Mary Flipse, by power of attorney for Steven Janicak
2020-03-11