0001567619-21-017807.txt : 20211004 0001567619-21-017807.hdr.sgml : 20211004 20211004152517 ACCESSION NUMBER: 0001567619-21-017807 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Finley Sara CENTRAL INDEX KEY: 0001481562 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 211302350 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02895 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 2021-09-30 0 0000704415 TIVITY HEALTH, INC. TVTY 0001481562 Finley Sara 701 COOL SPRINGS BLVD FRANKLIN TN 37067 1 0 0 0 Common Stock 2021-09-30 4 A 0 922 23.06 A 37496 D Reflects deferred stock units issued pursuant to the Tivity Health, Inc. Director Deferred Compensation Program, in lieu of an elected portion of the cash retainer fees earned for the director's service on the issuer's Board of Directors. The deferred stock units will be distributed in two equal installments on January 1, 2023 and January 1, 2024. The number of deferred stock units acquired was calculated by dividing the elected portion of the deferred cash retainer amount by the closing price of the issuer's common stock on the date the cash retainer was payable. /s/ Joseph Raymond Bilbao by power of attorney for Sara Finley 2021-10-04