SEC Form 4 · accession 0000731012-16-000148
HEALTHCARE SERVICES GROUP INC · HCSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert J Moss
Director
Period of report
Jun 9, 2016
Accepted (ET)
Jun 13, 2016 · 5:12 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 | Jun 9, 2016 | M | 7,485 | $10.39 | A | 7,485 | D | |
| Common Stock | Jun 9, 2016 | S | 7,485 | $40.00 | 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 | $10.39 | Jun 9, 2016 | M | 7,485 | D | Jan 5, 2014 | Jan 5, 2019 | Common Stock | 7,485 | 0 | D |
Explanation of responses
- F1These options shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 5, 2009 grant date.