-----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, FJk7dPoUnLDOsMG4DodCTUevp0ngm2WlNCQIKKZTogltnNNwkHxKJKRT19HlrjkH fsk0/UcSb7tRjcNFfYSH5w== 0001209191-10-001323.txt : 20100105 0001209191-10-001323.hdr.sgml : 20100105 20100105173732 ACCESSION NUMBER: 0001209191-10-001323 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100104 FILED AS OF DATE: 20100105 DATE AS OF CHANGE: 20100105 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: 10508576 MAIL ADDRESS: STREET 1: 3220 TILLMAN DRIVE SUITE 300 CITY: BENSALEM STATE: PA ZIP: 19020 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2010-01-04 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 21.46 2010-01-04 4 A 0 1001 0.00 A 2011-01-04 2020-01-04 common stock 1001 1001 D Stock option 21.46 2010-01-04 4 A 0 1000 0.00 A 2012-01-04 2020-01-04 common stock 1000 2001 D Stock option 21.46 2010-01-04 4 A 0 1000 0.00 A 2013-01-04 2020-01-04 common stock 1000 3001 D Stock option 21.46 2010-01-04 4 A 0 1000 0.00 A 2014-01-04 2020-01-04 common stock 1000 4001 D Stock option 21.46 2010-01-04 4 A 0 1000 0.00 A 2015-01-04 2020-01-04 common stock 1000 5001 D /s/ Robert L. Frome 2010-01-05 -----END PRIVACY-ENHANCED MESSAGE-----