0001567619-21-006870.txt : 20210324 0001567619-21-006870.hdr.sgml : 20210324 20210324170417 ACCESSION NUMBER: 0001567619-21-006870 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210322 FILED AS OF DATE: 20210324 DATE AS OF CHANGE: 20210324 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: 21768927 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 2021-03-22 0 0000704415 TIVITY HEALTH, INC. TVTY 0001618510 Holland Adam C 701 COOL SPRINGS BLVD. FRANKLIN TN 37067 0 1 0 0 CFO Common Stock 2021-03-22 4 A 0 13598 0 A 86863 D Option to Buy 26.29 2021-03-22 4 A 0 24603 0 A 2024-03-22 2028-03-22 Common Stock 24603 24603 D Reflects restricted stock units that will vest one-third (1/3) on each anniversary of the grant date. Reflects options that vest in full on 3/22/2024. /s/ Adam C. Holland 2021-03-24