SEC Form 5 · accession 0001567619-19-000233
TIVITY HEALTH, INC. · TVTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mary Flipse
Officer — Chief Legal and Admin Officer
Period of report
Dec 31, 2018
Accepted (ET)
Jan 3, 2019 · 3:29 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 Stock | Nov 21, 2018 | G | 10,152 | $0.00 | D | 63,782 | D | |
| Common Stock | holding | — | — | — | 347 | I | Held in 401(k) plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to BuyF1 | $12.85 | holding | — | — | — | — | Feb 28, 2023 | Common Stock | 13,568 | 23,568 | D |
| Option to BuyF2 | $9.29 | holding | — | — | — | — | Jul 19, 2022 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Options vest 25% per year beginning on 2/28/2014.
- F2Options vest 25% per year beginning on 7/19/2013.