SEC Form 4/A · accession 0001567619-18-005376
TIVITY HEALTH, INC. · TVTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Donato Tramuto
Officer — CEO · Director
Period of report
Nov 1, 2018
Accepted (ET)
Nov 8, 2018 · 2:02 pm EST
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 | Nov 1, 2018 | A | 161,320 | $0.00 | A | 560,010 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Stock UnitsF3,F2 | — | Nov 1, 2018 | M | 250,000 | D | — | — | Common Stock | 250,000 | 0 | D |
Explanation of responses
- F1Amended to reflect the vesting and payout of the additional 161,320 shares of common stock that were above the target number of shares originally reported, which was erroneously reported as a vesting and payout of 411,320 shares of common stock in the reporting person's Form 4 filed on November 5, 2018.
- F2Each Market Stock Unit converts into shares of common stock on a 1-for-1 basis but the number of common stock that may be issued to the reporting person upon vesting of the Market Stock Units ranges from a minimum of 0% to a maximum of 180% of the "target" performance level, depending on annualized shareholder return of the common stock over a three-year performance period beginning on November 1, 2015.
- F3Amended to reflect the vesting of Market Stock Units that was erroneously reported as an acquisition of Market Stock Units in the reporting person's Form 4 filed on November 5, 2018.