0001567619-21-006873.txt : 20210324 0001567619-21-006873.hdr.sgml : 20210324 20210324170734 ACCESSION NUMBER: 0001567619-21-006873 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210322 FILED AS OF DATE: 20210324 DATE AS OF CHANGE: 20210324 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wagers Ryan CENTRAL INDEX KEY: 0001753888 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 21768967 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 2021-03-22 0 0000704415 TIVITY HEALTH, INC. TVTY 0001753888 Wagers Ryan 701 COOL SPRINGS BOULEVARD FRANKLIN TN 37067 0 1 0 0 Chief Accounting Officer Common Stock 2021-03-22 4 A 0 3661 0 A 26473 D Option to Buy 26.29 2021-03-22 4 A 0 6624 0 A 2024-03-22 2028-03-22 Common Stock 6624 6624 D Reflects restricted stock units that will vest one-third (1/3) on each anniversary of the grant date. Reflects options that vest in full on 3/22/2024. /s/ Adam Holland, by power of attorney for Ryan Wagers 2021-03-24