0001567619-21-019797.txt : 20211112 0001567619-21-019797.hdr.sgml : 20211112 20211112084854 ACCESSION NUMBER: 0001567619-21-019797 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210203 FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEWIS THOMAS E CENTRAL INDEX KEY: 0001856760 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 211400101 MAIL ADDRESS: STREET 1: 701 COOL SPRINGS BLVD 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 2021-02-03 0 0000704415 TIVITY HEALTH, INC. TVTY 0001856760 LEWIS THOMAS E 701 COOL SPRINGS BLVD FRANKLIN TN 37067 0 1 0 0 Chief Operating Officer Common Stock 2021-02-03 4 A 0 2758 0 A 58146 D Common Stock 2021-02-03 4 A 0 5163 0 A 63309 D Common Stock 2021-11-10 4 F 0 1721 27.70 D 61588 D On February 3, 2021, the Compensation Committee of the Board of Directors of the Issuer certified that certain performance metrics under previously granted performance stock units were satisfied. These performance stock units were granted on April 11, 2019 under the Company's Second Amended and Restated 2014 Stock Incentive Plan pursuant to a 2019 Performance Stock Unit Award Agreement, and vest on December 31, 2021 as long as the Reporting Person is serving as an employee of the Issuer on such date. On February 3, 2021, the Compensation Committee of the Board of Directors of the Issuer certified that certain performance metrics under previously granted performance stock units were satisfied. These performance stock units were granted on April 15, 2019 under the Company's Second Amended and Restated 2014 Stock Incentive Plan pursuant to a 2019 Integration Bonus Performance Stock Unit Award Agreement, and vest on December 31, 2021 as long as the Reporting Person is serving as an employee of the Issuer on such date. Reflects the shares withheld to cover the payment of taxes following the vesting of 4,372 restricted stock units granted on November 10, 2020. /s/ Joseph Raymond Bilbao, by power of attorney for Thomas E. Lewis 2021-11-12