Get Healthcare Services Group Inc. Form 3 (initial Statement Of Beneficial Ownership) Filed 01/16/09

Filling out the Healthcare Services Group Inc. Form 3 is an important step in reporting beneficial ownership of securities. This guide provides clear, step-by-step instructions to help users navigate the process effectively and accurately.

Follow the steps to complete the form online and ensure compliance.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing platform.
2. Begin by entering the 'Name and Address of Reporting Person' section. Fill in the last name, first name, and middle name of the person reporting, followed by their address, city, state, and zip code.
3. Input the 'Date of Event Requiring Statement.' This should be in the format MM/DD/YYYY, reflecting the date when the reporting event occurred.
4. In the 'Issuer Name and Ticker or Trading Symbol' section, write 'Healthcare Services Group' and use the appropriate trading symbol 'HCSG.'
5. Indicate the 'Relationship of Reporting Person(s) to Issuer' by checking all applicable boxes such as Director, 10% Owner, or Officer. If the reporting person is an Officer, provide their title.
6. For amendments, include the 'Date Original Filed' if applicable. If not an amendment, skip this step.
7. Choose the filing type in the 'Individual or Joint/Group Filing' section. Check whether the form is filed by one reporting person or more.
8. Complete 'Table I - Non-Derivative Securities Beneficially Owned' by entering the title of the security, amount of securities beneficially owned, and nature of ownership (Direct or Indirect). Provide necessary details if the ownership is indirect, including the person through whom the ownership is held.
9. In 'Table II - Derivative Securities Beneficially Owned,' provide information about any derivative securities owned, including title, date exercisable, expiration date, title and amount of underlying securities, conversion or exercise price, and nature of ownership.
10. Add any 'Explanation of Responses' if necessary, clarifying the context of certain securities or ownership.
11. Complete the reporting owner's name and address section again if needed, along with their respective relationships.
12. Ensure to provide your signature along with the date of filing at the end of the form.
13. Finally, review the entire document for accuracy, save changes, and choose to download, print, or share the completed form.

Complete your form online today to ensure timely submission and compliance.