0001567619-20-011683.txt : 20200604 0001567619-20-011683.hdr.sgml : 20200604 20200604112909 ACCESSION NUMBER: 0001567619-20-011683 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200603 FILED AS OF DATE: 20200604 DATE AS OF CHANGE: 20200604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greczyn Robert J Jr CENTRAL INDEX KEY: 0001533550 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 20942302 MAIL ADDRESS: STREET 1: 9009 CAROTHERS PARKWAY, SUITE C-2 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 2020-06-03 0 0000704415 TIVITY HEALTH, INC. TVTY 0001533550 Greczyn Robert J Jr 701 COOL SPRINGS BOULEVARD FRANKLIN TN 37067 1 0 0 0 Common Stock 2020-06-03 4 A 0 9786 0 A 120925 D Common Stock 2020-06-03 4 A 0 2113 0 A 123038 D Reflects restricted stock units that vest on the earlier of (i) the first anniversary of the Grant Date (such Grant Date being June 3, 2020), or (ii) the first annual meeting of the stockholders of Tivity Health that occurs after the Grant Date. Reflects restricted stock units that vest in full on June 3, 2021. /s/ Mary Flipse by power of attorney for Robert J. Greczyn, Jr. 2020-06-04