SEC Form 4 · accession 0000731012-17-000097
HEALTHCARE SERVICES GROUP INC · HCSG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Hurlock
Officer — Executive Vice President & COO
Period of report
Sep 7, 2017
Accepted (ET)
Sep 11, 2017 · 9:05 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000731012
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | $0.00 | Sep 7, 2017 | A | 6,406 | A | — | — | Common Stock | 6,406 | 6,406 | D |
Explanation of responses
- F1Shares issued at the conversion rate of 1-for-1.
- F2These Restricted Stock Units shall vest at the rate of 20% annually, commencing on the first anniversary of the September 7, 2017 grant date.