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