0001567619-21-007379.txt : 20210401 0001567619-21-007379.hdr.sgml : 20210401 20210401162358 ACCESSION NUMBER: 0001567619-21-007379 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210331 FILED AS OF DATE: 20210401 DATE AS OF CHANGE: 20210401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Russell Erin L CENTRAL INDEX KEY: 0001488754 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 21798426 MAIL ADDRESS: STREET 1: 245 PARK AVENUE STREET 2: 41ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10167 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 2021-03-31 0 0000704415 TIVITY HEALTH, INC. TVTY 0001488754 Russell Erin L 701 COOL SPRINGS BLVD FRANKLIN TN 37067 1 0 0 0 Common Stock 2021-03-31 4 A 0 882 0 A 23238 D Reflects fully vested shares of common stock issued pursuant to the Tivity Health, Inc. Director Deferred Compensation Program, in lieu of an elected portion of the cash retainer fees earned for the director's service on the issuer's Board of Directors. The number of shares of common stock acquired was calculated by dividing the elected portion of the deferred cash retainer amount by the closing price of the issuer's common stock on the date the cash retainer was payable. /s/ Adam Holland by power of attorney for Erin Russell 2021-04-01