SEC Form 4 · accession 0001209191-18-020668
HEALTHSTREAM INC · HSTM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dale W Polley
Director
Period of report
Mar 19, 2018
Accepted (ET)
Mar 19, 2018 · 5:46 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001095565
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 19, 2018 | M | 2,846 | $0.00 | A | 49,852 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Share UnitsF2,F3,F4 | $0.00 | Mar 19, 2018 | M | 849 | D | — | — | Common Stock | 849 | 0 | D |
| Restricted Share UnitsF2,F5,F4 | $0.00 | Mar 19, 2018 | M | 1,075 | D | — | — | Common Stock | 1,075 | 1,074 | D |
| Restricted Share UnitsF2,F6,F4 | $0.00 | Mar 19, 2018 | M | 922 | D | — | — | Common Stock | 922 | 1,844 | D |
Explanation of responses
- F1Shares acquired on vesting of restricted share units.
- F2Each restricted share unit (RSU) represents the contingent right to receive one share of common stock upon vesting of the unit.
- F3The RSU's are subject to a three year vesting schedule, contingent upon continued service at the time of vesting. The RSU's vest annually beginning March 10, 2016 in three equal installments.
- F4Not applicable.
- F5The RSU's are subject to a three year vesting schedule, contingent upon continued service at the time of vesting. The RSU's vest annually beginning March 17, 2017 in three equal installments.
- F6The RSU's are subject to a three year vesting schedule, contingent upon continued service at the time of vesting. The RSU's vest annually beginning March 16, 2018 in three equal installments.