-----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, OKb20kYiqY4HPYMHLq3FFRfK0OBcsWgKnTGeScGDl+g2DiBDloyfoy3RuZj+zI5g x/WYJktkdZv502itULGvLA== 0000950116-03-005027.txt : 20031230 0000950116-03-005027.hdr.sgml : 20031230 20031230124153 ACCESSION NUMBER: 0000950116-03-005027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031226 FILED AS OF DATE: 20031230 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FROME ROBERT L CENTRAL INDEX KEY: 0000946426 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12015 FILM NUMBER: 031077082 BUSINESS ADDRESS: STREET 1: 505 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2127537200 MAIL ADDRESS: STREET 1: 3220 TILLMAN DRIVE SUITE 300 CITY: BENSALEM STATE: PA ZIP: 19020 4 1 p328992_ex.xml FORM 4 X0201 4 2003-12-26 0 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0000946426 FROME ROBERT L 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 37425 D /s/ Robert L. Frome 2003-12-30 -----END PRIVACY-ENHANCED MESSAGE-----