0001567619-22-006326.txt : 20220303
0001567619-22-006326.hdr.sgml : 20220303
20220303200336
ACCESSION NUMBER: 0001567619-22-006326
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220301
FILED AS OF DATE: 20220303
DATE AS OF CHANGE: 20220303
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BILBAO JOSEPH RAYMOND
CENTRAL INDEX KEY: 0001856566
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19364
FILM NUMBER: 22711543
MAIL ADDRESS:
STREET 1: 701 COOL SPRINGS BLVD
CITY: FRANKLIN
STATE: TN
ZIP: 37067
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
2022-03-01
0
0000704415
TIVITY HEALTH, INC.
TVTY
0001856566
BILBAO JOSEPH RAYMOND
701 COOL SPRINGS BLVD
FRANKLIN
TN
37067
0
1
0
0
Chief Legal Officer
Common Stock
2022-03-01
4
A
0
5276
0
A
31475
D
Option to Buy
31.27
2022-03-01
4
A
0
9524
0
A
2025-03-01
2029-03-01
Common Stock
9524
9524
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 3/1/2025.
/s/ Joseph Raymond Bilbao
2022-03-03