-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, EnWdPpFdRPvl/zl6JS61bTTfBrQy94Of2FxmLtt2l1nLOTjAq252IZbCS0EeC/t9 O5eF3bT1GkcERJab+xge/A== 0000950116-04-002310.txt : 20040803 0000950116-04-002310.hdr.sgml : 20040803 20040803141543 ACCESSION NUMBER: 0000950116-04-002310 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040802 FILED AS OF DATE: 20040803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WATERS BRIAN M CENTRAL INDEX KEY: 0001213196 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12015 FILM NUMBER: 04947846 MAIL ADDRESS: STREET 1: 3220 TILLMAN DRIVE SUIE 300 CITY: BENSALEM STATE: PA ZIP: 19020 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHCARE SERVICES GROUP INC CENTRAL INDEX KEY: 0000731012 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340] IRS NUMBER: 232018365 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2643 HUNTINGDON PIKE CITY: HUNTINGDON VALLEY STATE: PA ZIP: 19006 BUSINESS PHONE: 2159381661 MAIL ADDRESS: STREET 1: 2643 HUNTINGDON PIKEE CITY: HUNTINGDON VALLEY STATE: PA ZIP: 19006 4 1 p400084_ex.xml 4 X0202 4 2004-08-02 0 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0001213196 WATERS BRIAN M 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 0 1 0 0 VICE PRESIDENT COMMON STOCK 2004-08-02 4 M 0 5000 8.4333 A 5458 D COMMON STOCK 2004-08-02 4 S 0 5000 16.91 D 458 D STOCK OPTION 8.4333 2004-08-02 4 M 0 5000 8.4333 D 2003-06-13 2012-12-13 COMMON STOCK 5000 17232 D /S/ BRIAN WATERS 2004-08-03 -----END PRIVACY-ENHANCED MESSAGE-----