-----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, S0AKQkzDEm0G0TZh5r7ph/cFq3A6AmpETaFS+GKfncr5AgGUu5evD5obobrGpxqt OCjzqv3PUHi9XMfYDL+diQ== 0001125282-05-006379.txt : 20051207 0001125282-05-006379.hdr.sgml : 20051207 20051207104829 ACCESSION NUMBER: 0001125282-05-006379 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051205 FILED AS OF DATE: 20051207 DATE AS OF CHANGE: 20051207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCCARTNEY DANIEL P CENTRAL INDEX KEY: 0001210672 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12015 FILM NUMBER: 051248687 MAIL ADDRESS: STREET 1: 3220 TILLMAN DR STREET 2: SUITE 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 2005-12-05 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0001210672 MCCARTNEY DANIEL P 3220 TILLMAN DR SUITE 300 BENSALEM PA 19020 1 1 1 Chief Executive Officer Chairman Common Stock 2005-12-05 4 M 0 40395 2.4755 A 1966029 D Common Stock 2005-12-05 4 G 0 40395 21.34 D 1925634 D Common Stock 32903 I HELD BY CHILD Stock Option 2.4755 2005-12-05 4 M 0 40395 2.4755 D 2001-06-06 2005-12-06 Common Stock 40395 508020 D /s/ Daniel P. McCartney 2005-12-07 -----END PRIVACY-ENHANCED MESSAGE-----