0001567619-21-016349.txt : 20210826 0001567619-21-016349.hdr.sgml : 20210826 20210826121030 ACCESSION NUMBER: 0001567619-21-016349 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210824 FILED AS OF DATE: 20210826 DATE AS OF CHANGE: 20210826 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ashworth Richard M CENTRAL INDEX KEY: 0001617806 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 211210578 MAIL ADDRESS: STREET 1: 200 WILMOT ROAD CITY: DEERFIELD STATE: IL ZIP: 60015 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 2021-08-24 0 0000704415 TIVITY HEALTH, INC. TVTY 0001617806 Ashworth Richard M 701 COOL SPRINGS BOULEVARD FRANKLIN TN 37067 1 1 0 0 President and CEO Common Stock 2021-08-24 4 F 0 3051 23.24 D 523221 D Reflects the shares withheld to cover the payment of taxes following the vesting of 6,887 restricted stock units granted on August 24, 2020. /s/ Joseph Raymond Bilbao, by power of attorney for Richard M. Ashworth 2021-08-26