-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RXAZ7n5a4iB34QNHCx/cgabhvm+WnkwMD+sUGLVi3QycNR4Xm0GPFtCEoUROo51r 4FedZP5ZQsl+rkAWdAOqHA== 0000950116-03-004468.txt : 20031113 0000950116-03-004468.hdr.sgml : 20031113 20031113100406 ACCESSION NUMBER: 0000950116-03-004468 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031112 FILED AS OF DATE: 20031113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOSS ROBERT J CENTRAL INDEX KEY: 0001213194 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12015 FILM NUMBER: 03996024 MAIL ADDRESS: STREET 1: 3220 TILLMAN DRIVE SUIE 300 CITY: BENSALEM STATE: PA ZIP: 19020 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHCARE SERVICES GROUP INC CENTRAL INDEX KEY: 0000731012 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340] IRS NUMBER: 232018365 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2643 HUNTINGDON PIKE CITY: HUNTINGDON VALLEY STATE: PA ZIP: 19006 BUSINESS PHONE: 2159381661 MAIL ADDRESS: STREET 1: 2643 HUNTINGDON PIKEE CITY: HUNTINGDON VALLEY STATE: PA ZIP: 19006 4 1 p328135_ex.xml FORM 4 X0201 4 2003-11-12 0 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0001213194 MOSS ROBERT J 235-11 LUCAS LANE VOORHEES NJ 08043 1 0 0 0 Common stock 2003-11-12 2003-11-12 4 M 0 2000 7.67 A 2000 D Common stock 2003-11-12 2003-11-12 4 S 0 1500 19.05 D 500 D Common stock 2003-11-12 2003-11-12 4 S 0 500 18.86 D 0 D Stock option 7.67 2003-11-12 2003-11-12 4 M 0 2000 7.67 D 1998-02-21 2007-08-21 Common stock 2000 17955 D /s/ Robert Moss 2003-11-13 -----END PRIVACY-ENHANCED MESSAGE-----