0001567619-21-010873.txt : 20210521 0001567619-21-010873.hdr.sgml : 20210521 20210521142041 ACCESSION NUMBER: 0001567619-21-010873 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210520 FILED AS OF DATE: 20210521 DATE AS OF CHANGE: 20210521 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: 21948394 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 2021-05-20 0 0000704415 TIVITY HEALTH, INC. TVTY 0001533550 Greczyn Robert J Jr 701 COOL SPRINGS BOULEVARD FRANKLIN TN 37067 1 0 0 0 Common Stock 2021-05-20 4 A 0 5048 0 A 130009 D Reflects restricted stock units that vest on the earlier of (i) the first anniversary of the Grant Date (such Grant Date being 5/20/2021), or (ii) the first annual meeting of the stockholders of Tivity Health that occurs after the Grant Date. /s/ Adam Holland by power of attorney for Robert J. Greczyn, Jr. 2021-05-21