-----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, Choe3p8DJ0LgZmm6dNBuUiqL/ceK9ZreTuV71cVuHImCyZVfRoMqqzNfR2FSa3KZ 5RjVkKYxzn6B1RFy8o0IAg== 0001125282-05-006097.txt : 20051121 0001125282-05-006097.hdr.sgml : 20051121 20051121111235 ACCESSION NUMBER: 0001125282-05-006097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051118 FILED AS OF DATE: 20051121 DATE AS OF CHANGE: 20051121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEISMAN BARTON D CENTRAL INDEX KEY: 0001213197 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12015 FILM NUMBER: 051216962 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 form.xml X0202 4 2005-11-18 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0001213197 WEISMAN BARTON D 3220 TILLMAN DRIVE SUIE 300 BENSALEM PA 19020 1 Common Stock 2005-11-18 4 G 0 5000 20.23 D 86000 D Common Stock 2005-11-18 4 A 0 5000 20.23 A 69913 I BY SELF AS TRUSTEE MR WEISMAN AND HIS WIFE ARE CONTROLLING TRUSTEES OF SUCH TRUST WHICH HOLDS THE SHARES /S/ BARTON D. WEISMAN 2005-11-21 -----END PRIVACY-ENHANCED MESSAGE-----