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