SEC Form 4 · accession 0000731012-16-000126
HEALTHCARE SERVICES GROUP INC · HCSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Diane S Casey
Director
Period of report
Mar 7, 2016
Accepted (ET)
Mar 9, 2016 · 4:35 pm EST
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 | Mar 7, 2016 | M | 4,001 | $17.50 | A | 4,001 | D | |
| Common Stock | Mar 7, 2016 | M | 3,001 | $23.50 | A | 7,002 | D | |
| Common Stock | Mar 7, 2016 | M | 2,001 | $28.02 | A | 9,003 | D | |
| Common Stock | Mar 7, 2016 | M | 1,001 | $30.30 | A | 10,004 | D | |
| Common Stock | Mar 7, 2016 | S | 10,004 | $35.5939 | D | 0 | 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)F1 | $17.50 | Mar 7, 2016 | M | 4,001 | D | Jan 5, 2013 | Jan 5, 2022 | Common Stock | 4,001 | 1,000 | D |
| Stock Option (right to buy)F2 | $23.50 | Mar 7, 2016 | M | 3,001 | D | Jan 4, 2014 | Jan 4, 2023 | Common Stock | 3,001 | 2,000 | D |
| Stock Option (right to buy)F3 | $28.02 | Mar 7, 2016 | M | 2,001 | D | Jan 3, 2015 | Jan 3, 2024 | Common Stock | 2,001 | 3,000 | D |
| Stock Option (right to buy) | $30.30 | Mar 7, 2016 | M | 1,001 | D | Jan 5, 2016 | Jan 5, 2025 | Common Stock | 1,001 | 4,000 | D |
Explanation of responses
- F125% vested on each of 1/5/2013, 1/5/2014, 1/5/2015 and 1/5/2016.
- F233 1/3% vested on each of 1/4/2014, 1/4/2015 and 1/4/2016.
- F350% vested on each of 1/3/2015 and 1/3/2016.