SEC Form 4 · accession 0001140361-18-017151
TIVITY HEALTH, INC. · TVTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Glenn Hargreaves
Officer — Chief Accounting Officer
Period of report
Apr 3, 2018
Accepted (ET)
Apr 4, 2018 · 5:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000704415
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Apr 3, 2018 | A | 2,535 | $0.00 | A | 40,404 | D | |
| Common Stock | holding | — | — | — | 1,236 | I | Held in 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to BuyF2,F1 | $39.45 | Apr 3, 2018 | A | 0 | A | Apr 3, 2019 | Apr 3, 2028 | Common Stock | 0 | 0 | D |
Explanation of responses
- F1Reflects restricted stock units/options that vest 33% on 4/3/2019, 33% on 4/3/2020, and 34% on 4/3/2021.
- F2The compensation committee of the Company's board of directors granted to the reporting person stock options with an aggregate value of $100,000, with the number of such options to be determined as follows: $100,000 / option fair value. The binomial lattice option valuation model will be used to estimate the fair value of the option. Because the fair value as of April 3, 2018 is not yet determinable, this Form 4 will be amended to report the number of options granted when that number has been calculated.