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