0001567619-21-000009.txt : 20210104 0001567619-21-000009.hdr.sgml : 20210104 20210104114059 ACCESSION NUMBER: 0001567619-21-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210104 DATE AS OF CHANGE: 20210104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Flipse Mary CENTRAL INDEX KEY: 0001554321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 21500680 MAIL ADDRESS: STREET 1: 701 COOL SPRINGS BLVD 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 2020-12-31 0 0000704415 TIVITY HEALTH, INC. TVTY 0001554321 Flipse Mary 701 COOL SPRINGS BLVD FRANKLIN TN 37067 0 1 0 0 Chief Legal and Admin Officer Common Stock 2020-12-31 4 F 0 549 19.59 D 106197 D Common Stock 2020-12-31 4 F 0 7774 19.59 D 98423 D Common Stock 2020-12-31 4 F 0 926 19.59 D 97497 D Common Stock 2020-12-31 4 F 0 563 19.59 D 96934 D Common Stock 347 I Held in 401(k) plan Reflects 549 shares withheld to cover the payment of taxes following the vesting of 2,251 restricted stock units granted on April 11, 2019. Reflects 7,774 shares withheld to cover the payment of taxes following the vesting of 31,923 restricted stock units granted on March 9, 2020. Reflects 926 shares withheld to cover the payment of taxes following the vesting of 3,802 restricted stock units granted on May 11, 2020. Reflects 563 shares withheld to cover the payment of taxes following the vesting of 2,311 restricted stock units granted on August 24, 2020. /s/ Adam Holland 2021-01-04