-----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, LrVPG0mY+LdQNgcEYE2GJE0+z2YUAu693UWkz0izIblcmSrY2x0/u+BjTDbx37r9 AwNQ/TSTGp95OVC9ToqAWg== 0001209191-07-031415.txt : 20070518 0001209191-07-031415.hdr.sgml : 20070518 20070518135549 ACCESSION NUMBER: 0001209191-07-031415 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070517 FILED AS OF DATE: 20070518 DATE AS OF CHANGE: 20070518 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COOK THOMAS A CENTRAL INDEX KEY: 0001213195 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12015 FILM NUMBER: 07864161 MAIL ADDRESS: STREET 1: 3220 TILLMAN DRIVE SUIE 300 CITY: BENSALEM STATE: PA ZIP: 19020 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2007-05-17 0 0000731012 HEALTHCARE SERVICES GROUP INC HCSG 0001213195 COOK THOMAS A 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 1 1 0 0 President and COO Common stock 2007-05-17 4 M 0 100000 4.1111 A 119248 D Common stock 2007-05-17 4 S 0 100 27.02 D 119148 D Common stock 2007-05-17 4 S 0 1679 26.95 D 117469 D Common stock 2007-05-17 4 S 0 97902 27.00 D 19567 D Common stock 2007-05-17 4 S 0 319 27.01 D 19248 D Stock option 4.1111 2007-05-17 4 M 0 100000 0.00 D 2002-06-04 2011-12-04 common stock 100000 125000 D Phantom stock 0.00 2007-05-14 2007-05-17 4 S 0 16930 0.00 D common stock 16930 93 D Shares originally issued at conversion rate of 1 for 1 pursuant to issuer's contribution under the Healthcare Services Group, Inc Deferred Compensation Plan Shares acquired pursuant to issuer contribution made under plan years 2000 through 2006 Healthcare Services Group, Inc Deferred Compensation Plan Shares of Phantom Stock are payable in cash or stock following the reporting person's employment with the issuer. /s/ Thomas A. Cook 2007-05-18 -----END PRIVACY-ENHANCED MESSAGE-----