SEC Form 4 · accession 0000731012-17-000040
HEALTHCARE SERVICES GROUP INC · HCSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jason J Bundick
Officer — General Counsel & Secretary
Period of report
Mar 3, 2017
Accepted (ET)
Mar 6, 2017 · 6:14 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 3, 2017 | M | 2,800 | $23.50 | A | 3,460 | D | |
| Common Stock | Mar 3, 2017 | M | 2,000 | $28.02 | A | 5,460 | D | |
| Common Stock | Mar 3, 2017 | S | 500 | $41.981 | D | 4,960 | D | |
| Common Stock | Mar 3, 2017 | S | 4,300 | $41.9831 | D | 660 | 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 | $23.50 | Mar 3, 2017 | M | 2,800 | D | Jan 4, 2018 | Jan 4, 2023 | Common Stock | 2,800 | 700 | D |
| Stock Option (right to buy)F2 | $28.02 | Mar 3, 2017 | M | 2,000 | D | Jan 3, 2019 | Jan 3, 2024 | Common Stock | 2,000 | 3,000 | 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 4, 2013 grant date.
- F2These options shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the January 3, 2014 grant date.