Accession Number: | 0000731012-19-000026 |
Date: | 2019-01-02 |
Issuer: | HEALTHCARE SERVICES GROUP INC (HCSG) |
Original Submission Date: |
MCBRYAN MICHAEL E
3220 TILLMAN DRIVE
SUITE 300
BENSALEM, PA 19020
Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
---|---|---|---|---|---|---|---|---|---|
COMMON STOCK | 2019-01-02 | A | 622 | a | $34.15 | 20,009 | direct | ||
COMMON STOCK | 2019-01-04 | M | 625 | a | $0.00 | 20,634 | direct | ||
COMMON STOCK | 2019-01-04 | M | 1,200 | a | $0.00 | 21,834 | direct | ||
COMMON STOCK | 2019-01-04 | F | 597 | d | $0.00 | 21,237 | direct |
Title of Derivative Security | Conversion or Exercise Price of Derivative Security | Transaction Date | Deemed Execution Date | Transaction Code | Number of Derivative Securities Acquired (A) or Disposed of (D) | Date Exercisable | Expiration Date | Title and Amount of Securities Underlying Derivative Security | Price of Derivative Security | Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | Ownership Form: Direct (D) or Indirect (I) | Nature of Indirect Beneficial Ownership |
---|---|---|---|---|---|---|---|---|---|---|---|---|
PHANTOM STOCK | 0.0 | 2019-01-02 | deemed execution date | A | 921 (a) | common stock 921 | $0.00 | 36,397 | direct | |||
RESTRICTED STOCK UNITS | 0.0 | 2019-01-04 | deemed execution date | M | 625 (d) | common stock 625 | $0.00 | 1,875 | direct | |||
RESTRICTED STOCK UNITS | 0.0 | 2019-01-04 | deemed execution date | M | 1,200 (d) | common stock 1,200 | $0.00 | 4,800 | direct | |||
RESTRICTED STOCK UNITS | 0.0 | 2019-01-04 | deemed execution date | A | 8,500 (a) | common stock 8,500 | $0.00 | 8,500 | direct | |||
STOCK OPTION (RIGHT TO BUY) | 40.49 | 2019-01-04 | deemed execution date | A | 10,000 (a) | 2029-01-04 | common stock 10,000 | $40.49 | 10,000 | direct |
ID | footnote |
---|---|
f1 | acquired by the reporting person through participation in the healthcare services group, inc. employee stock purchase plan. |
f2 | shares issued at the conversion rate of 1-for-1. |
f3 | acquired pursuant to an issuer contribution under the healthcare services group, inc. deferred compensation plan. |
f4 | shares of phantom stock are payable in-kind following termination of the reporting person's employment with issuer. |
f5 | these restricted stock units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the january 4, 2017 grant date. |
f6 | these restricted stock units shall vest at the rate of 20% annually, commencing on the first anniversary of the january 4, 2018 grant date. |
f7 | these restricted stock units shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the january 4, 2019 grant date. |
f8 | these options shall vest and become exercisable at the rate of 20% annually, commencing on the first anniversary of the january 4, 2019 grant date. |