SEC Form 4 · accession 0000731012-15-000068
HEALTHCARE SERVICES GROUP INC · HCSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John Briggs
Director
Period of report
Aug 14, 2015
Accepted (ET)
Aug 18, 2015 · 4:34 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000731012
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 14, 2015 | M | 972 | $10.3867 | A | 27,368 | D | |
| Common Stock | Aug 14, 2015 | M | 1,528 | $14.3067 | A | 28,896 | D | |
| Common Stock | Aug 14, 2015 | G | 1,500 | $34.72 | D | 27,396 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy) | $10.3867 | Aug 14, 2015 | M | 972 | D | Jan 5, 2012 | Jan 5, 2019 | Common Stock | 972 | 0 | D |
| Stock Option (right to buy) | $14.3067 | Aug 14, 2015 | M | 1,528 | D | Jan 4, 2012 | Jan 4, 2020 | Common Stock | 1,528 | 3,774 | D |