0001567619-20-019348.txt : 20201112
0001567619-20-019348.hdr.sgml : 20201112
20201112185038
ACCESSION NUMBER: 0001567619-20-019348
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201110
FILED AS OF DATE: 20201112
DATE AS OF CHANGE: 20201112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Holland Adam C
CENTRAL INDEX KEY: 0001618510
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19364
FILM NUMBER: 201308527
MAIL ADDRESS:
STREET 1: C/O KIRKLAND'S, INC.
STREET 2: 2501 MCGAVOCK PIKE, SUITE 1000
CITY: NASHVILLE
STATE: TN
ZIP: 37214
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TIVITY HEALTH, INC.
CENTRAL INDEX KEY: 0000704415
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 621117144
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 701 COOL SPRINGS BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: 6156144929
MAIL ADDRESS:
STREET 1: 701 COOL SPRINGS BOULEVARD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
FORMER COMPANY:
FORMER CONFORMED NAME: HEALTHWAYS, INC.
DATE OF NAME CHANGE: 20170104
FORMER COMPANY:
FORMER CONFORMED NAME: TIVITY HEALTH, INC
DATE OF NAME CHANGE: 20161230
FORMER COMPANY:
FORMER CONFORMED NAME: HEALTHWAYS, INC
DATE OF NAME CHANGE: 20060201
4
1
doc1.xml
FORM 4
X0306
4
2020-11-10
0
0000704415
TIVITY HEALTH, INC.
TVTY
0001618510
Holland Adam C
701 COOL SPRINGS BLVD.
FRANKLIN
TN
37067
0
1
0
0
CFO
Common Stock
2020-11-10
4
A
0
21311
0
A
78337
D
Option to Buy
16.78
2020-11-10
4
A
0
39634
0
A
2023-05-10
2027-11-10
Common Stock
39634
39634
D
Reflects restricted stock units ("RSUs") that will vest according to the following schedule: one-third (1/3) of the RSUs will vest on 11/10/2021, one-third (1/3) of the RSUs will vest on 5/10/2022, and one-third (1/3) of the RSUs will vest on 5/10/2023.
Reflects options that vest in full on 5/10/2023.
/s/ Mary Flipse, by power of attorney for Adam C. Holland
2020-11-12