-----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, RB6cdCyBQkVRKUseSS1aBiMjv09QY7OueNqG7nqS/CY6N+mJIv0nf1nS49vNQrhq vWlVkb4WvuucO1MJLoHFzg== 0001209191-09-002913.txt : 20090113 0001209191-09-002913.hdr.sgml : 20090113 20090113143633 ACCESSION NUMBER: 0001209191-09-002913 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090105 FILED AS OF DATE: 20090113 DATE AS OF CHANGE: 20090113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ottaviano Dino D CENTRAL INDEX KEY: 0001403593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12015 FILM NUMBER: 09523665 BUSINESS ADDRESS: BUSINESS PHONE: 2156394274 MAIL ADDRESS: STREET 1: 3220 TILLMAN DRIVE 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 doc4.xml FORM 4 SUBMISSION X0303 4 2009-01-05 0 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0001403593 Ottaviano Dino D 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 1 0 0 0 Stock option 15.58 2009-01-05 4 A 0 998 0.00 A 2010-01-05 2019-01-05 common stock 998 998 D Stock option 15.58 2009-01-05 4 A 0 998 0.00 A 2011-01-05 2019-01-05 common stock 998 1996 D Stock option 15.58 2009-01-05 4 A 0 998 0.00 A 2012-01-05 2019-01-05 common stock 998 2994 D Stock option 15.58 2009-01-05 4 A 0 998 0.00 A 2013-01-05 2019-01-05 common stock 998 3992 D Stock option 15.58 2009-01-05 4 A 0 998 0.00 A 2014-01-05 2019-01-05 common stock 998 4990 D /s/ Dino Ottaviano 2009-01-13 -----END PRIVACY-ENHANCED MESSAGE-----