SEC Form 4 · accession 0000731012-16-000173
HEALTHCARE SERVICES GROUP INC · HCSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Theodore Wahl
Officer — President & CEO · Director
Period of report
Nov 25, 2016
Accepted (ET)
Nov 25, 2016 · 5:03 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 StockF1 | Nov 25, 2016 | G | 750 | $39.21 | A | 109,396 | D | |
| Common StockF1 | Nov 25, 2016 | G | 2,635 | $39.21 | A | 84,536 | I | Held by spouse |
| Common StockF1 | Nov 25, 2016 | G | 2,250 | $39.21 | A | 28,418 | I | Held by minor child |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Total Direct and Indirect Beneficial Ownership by Reporting Person is 222,350 shares.