SEC Form 4 · accession 0000731012-16-000175
HEALTHCARE SERVICES GROUP INC · HCSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dino D Ottaviano
Director
Period of report
Dec 5, 2016
Accepted (ET)
Dec 6, 2016 · 5:28 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 | Dec 5, 2016 | M | 500 | $16.11 | A | 1,084 | D | |
| Common Stock | Dec 5, 2016 | S | 500 | $38.736 | D | 584 | 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 | $16.11 | Dec 5, 2016 | M | 500 | D | Jan 6, 2016 | Jan 6, 2021 | Common Stock | 500 | 1,500 | 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 6, 2011 grant date.