SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Roberts Scott Alexander

(Last) (First) (Middle)
209 10TH AVENUE SOUTH
SUITE 450

(Street)
NASHVILLE TN 37203

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/26/2019
3. Issuer Name and Ticker or Trading Symbol
HEALTHSTREAM INC [ HSTM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Interim CFO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 3,159 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Share Units (1) (2) Common Stock 474 0.00(3) D
Restricted Share Units (4) (2) Common Stock 1,116 0.00(3) D
Restricted Share Units (5) (2) Common Stock 1,252 0.00(3) D
Restricted Share Units (6) (2) Common Stock 1,404 0.00(3) D
Explanation of Responses:
1. The RSU's are subject to a vesting schedule, contingent upon continued service at the time of vesting. 474 RSU's vest on March 10, 2019.
2. Not applicable.
3. Each restricted share unit (RSU) represents the contingent right to receive one share of common stock upon vesting of the unit.
4. The RSU's are subject to a vesting schedule, contingent upon continued service at the time of vesting. 515 RSU's vest on March 17, 2019, and 601 RSU's vest on March 17, 2020.
5. The RSU's are subject to a vesting schedule, contingent upon continued service at the time of vesting. 295 RSU's vest on March 16, 2019, 442 RSU's vest on March 16, 2020, and 515 RSU's vest on March 16, 2021.
6. The RSU's are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 15, 2019, 20% vest on March 15, 2020, 30% vest on March 15, 2021, and the remaining 35% vest on March 15, 2022.
Remarks:
Scott A. Roberts 02/26/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
LIMITED POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, that Scott A. Roberts has made, constituted and
appointed, and by these presents does make, constitute and appoint Amelia Emmert
as its true and lawful attorney-in-fact, for its and in its name, place and
stead, and for its use and benefit, to do all things and to execute all
documents necessary to ensure compliance with Section 16 reporting requirements
associated with my relationship with HealthStream, Inc.

It is my intention by this instrument to grant unto said attorney-in-fact full
power and authority to do and perform all and every act and thing whatsoever to
accomplish the foregoing grant of power as shall be necessary to be done on my
behalf as fully to all intents and purposes as I might or could do if I was
present in person.

This power of attorney may be revoked by the undersigned only by specific
revocation endorsed or written hereon, and until such revocation be endorsed or
written hereon, all persons may rely upon this power of attorney as being in
full force and effect.

IN WITNESS WHEREOF, I have hereunto set my hand, the 21st day of February, 2019.
						/s/ Scott A. Roberts
						Scott A. Roberts