Form Type: 4

SEC EDGAR Link
Accession Number:0000731012-19-000026
Date:2019-01-02
Issuer: HEALTHCARE SERVICES GROUP INC (HCSG)
Original Submission Date:

Reporting Person:

MCBRYAN MICHAEL E
3220 TILLMAN DRIVE
SUITE 300 BENSALEM, PA 19020

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature 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
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
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 ExercisableExpiration 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
Footnotes
IDfootnote
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.
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