-----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, GtTb9jaj+GX49dZseYtNu7cprmWW/YEw1Ny/bMKS3SZ0YC1mFwOVJkrS4kz9G5AO ogmiW4BxM4Qub+fjECqopw== 0000950116-03-004993.txt : 20031229 0000950116-03-004993.hdr.sgml : 20031225 20031229182117 ACCESSION NUMBER: 0000950116-03-004993 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031226 FILED AS OF DATE: 20031229 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: 031076369 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 p328995_ex.xml FORM 4 X0201 4 2003-12-26 0 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0001213194 MOSS ROBERT J 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 1 0 0 0 Stock option 18.65 2003-12-26 4 A 0 4990 18.65 A 2004-06-26 2013-12-26 common stock 4990 19960 D /s/ Robert Moss 2003-12-30 -----END PRIVACY-ENHANCED MESSAGE-----