Statement of Changes in Beneficial Ownership (4)
May 01 2019 - 3:24PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
MILLER ALAN B
|
2. Issuer Name
and
Ticker or Trading Symbol
UNIVERSAL HEALTH SERVICES INC
[
UHS
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chairman and CEO
|
(Last)
(First)
(Middle)
UNIVERSAL HEALTH SERVICES, INC., 367 SOUTH GULPH ROAD
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/30/2019
|
(Street)
KING OF PRUSSIA, PA 19406
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code
(Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Class B Common Stock
|
4/30/2019
|
|
J
(1)
|
|
30956
|
D
|
$0
|
20977
|
I
|
AMK 2014 LLC as held by The Abby Miller King 2018 GRAT
|
Class B Common Stock
|
4/30/2019
|
|
J
(1)
|
|
30956
|
A
|
$0
|
62275
|
I
|
AMK 2014 LLC as held by Alan B. Miller
|
Class B Common Stock
|
4/30/2019
|
|
J
(1)
|
|
30956
|
D
|
$0
|
20977
|
I
|
MS 2014 LLC as held by The Marni Spencer 2018 GRAT
|
Class B Common Stock
|
4/30/2019
|
|
J
(1)
|
|
30956
|
A
|
$0
|
62275
|
I
|
MS 2014 LLC as held by Alan B. Miller
|
Class B Common Stock
|
4/30/2019
|
|
J
(1)
|
|
56437
|
D
|
$0
|
74660
|
I
|
MDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT
|
Class B Common Stock
|
4/30/2019
|
|
J
(1)
|
|
56437
|
A
|
$0
|
101333
|
I
|
MDM 2014 LLC as held by Alan B. Miller
|
Class B Common Stock
|
4/30/2019
|
|
J
(2)
|
|
62275
|
D
|
$0
|
0
|
I
|
AMK 2014 LLC as held by Alan B. Miller
|
Class B Common Stock
|
4/30/2019
|
|
J
(2)
|
|
62275
|
A
|
$0
|
62275
|
I
|
AMK 2014 LLC as held by The Abby Miller King 2019 GRAT
|
Class B Common Stock
|
4/30/2019
|
|
J
(3)
|
|
62275
|
D
|
$0
|
0
|
I
|
MS 2014 LLC as held by Alan B. Miller
|
Class B Common Stock
|
4/30/2019
|
|
J
(3)
|
|
62275
|
A
|
$0
|
62275
|
I
|
MS 2014 LLC as held by The Marni Spencer 2019 GRAT
|
Class B Common Stock
|
4/30/2019
|
|
J
(4)
|
|
101333
|
D
|
$0
|
0
|
I
|
MDM 2014 LLC as held by Alan B. Miller
|
Class B Common Stock
|
4/30/2019
|
|
J
(4)
|
|
101333
|
A
|
$0
|
101333
|
I
|
MDM 2014 LLC as held by the Marc Daniel Miller 2019 GRAT
|
Class B Common Stock
|
|
|
|
|
|
|
|
1156860
|
D
|
|
Class B Common Stock
|
|
|
|
|
|
|
|
16748
|
I
|
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
|
Class B Common Stock
|
|
|
|
|
|
|
|
55763
|
I
|
By The Abby Miller King 2011 Family Trust
|
Class B Common Stock
|
|
|
|
|
|
|
|
24007
|
I
|
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
|
Class B Common Stock
|
|
|
|
|
|
|
|
16748
|
I
|
MS 2014 LLC held by The Marni Spencer 2002 Trust
|
Class B Common Stock
|
|
|
|
|
|
|
|
10810
|
I
|
The Alan and Jill Miller Foundation
|
Class B Common Stock
|
|
|
|
|
|
|
|
59900
|
I
|
The Marc Daniel Miller 2011 Family Trust
|
Class B Common Stock
|
|
|
|
|
|
|
|
55763
|
I
|
The Marni Spencer 2011 Family Trust
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. Code
(Instr. 8)
|
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
6. Date Exercisable and Expiration Date
|
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
|
8. Price of Derivative Security
(Instr. 5)
|
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
|
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
|
11. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
(A)
|
(D)
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(1)
|
|
|
30956
|
(6)
|
(7)
|
Class B Common Stock
|
30956
|
$0
|
20977
|
I
|
AMK 2014 LLC held by the Abby Miller King 2018 GRAT
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(1)
|
|
30956
|
|
(8)
|
(9)
|
Class B Common Stock
|
30956
|
$0
|
62275
|
I
|
AMK 2014 LLC as held by Alan B. Miller
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(1)
|
|
|
30956
|
(6)
|
(7)
|
Class B Common Stock
|
30956
|
$0
|
20977
|
I
|
MS 2014 LLC as held by The Marni Spencer 2018 GRAT
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(1)
|
|
30956
|
|
(8)
|
(9)
|
Class B Common Stock
|
30956
|
$0
|
62275
|
I
|
MS 2014 LLC as held by Alan B. Miller
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(1)
|
|
|
42328
|
(6)
|
(7)
|
Class B Common Stock
|
42328
|
$0
|
55996
|
I
|
MDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(1)
|
|
42328
|
|
(8)
|
(9)
|
Class B Common Stock
|
42328
|
$0
|
75999
|
I
|
MDM 2014 LLC as held by Alan B. Miller
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(2)
|
|
|
62275
|
(8)
|
(9)
|
Class B Common Stock
|
62275
|
$0
|
0
|
I
|
AMK 2014 LLC as held by Alan B. Miller
|
Class A Common Stock
|
(10)
|
4/30/2019
|
|
J
(2)
|
|
62275
|
|
(11)
|
(12)
|
Class B Common Stock
|
62275
|
$0
|
62275
|
I
|
AMK 2014 LLC as held by The Abby Miller King 2019 GRAT
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(3)
|
|
|
62275
|
(8)
|
(9)
|
Class B Common Stock
|
62275
|
$0
|
0
|
I
|
MS 2014 LLC as held by Alan B. Miller
|
Class A Common Stock
|
(10)
|
4/30/2019
|
|
J
(3)
|
|
62275
|
|
(11)
|
(12)
|
Class B Common Stock
|
62275
|
$0
|
62275
|
I
|
MS 2014 LLC as held by The Marni Spencer 2019 GRAT
|
Class A Common Stock
|
(5)
|
4/30/2019
|
|
J
(4)
|
|
|
75999
|
(8)
|
(9)
|
Class B Common Stock
|
75999
|
$0
|
0
|
I
|
MDM 2014 LLC as held by Alan B. Miller
|
Class A Common Stock
|
(10)
|
4/30/2019
|
|
J
(4)
|
|
75999
|
|
(11)
|
(12)
|
Class B Common Stock
|
75999
|
$0
|
75999
|
I
|
MDM 2014 LLC as held by The Marc Daniel Miller 2019 GRAT
|
Class A Common Stock
|
(5)
|
|
|
|
|
|
|
(6)
|
(7)
|
Class B Common Stock
|
16748
|
|
16748
|
I
|
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
|
Class A Common Stock
|
(5)
|
|
|
|
|
|
|
(13)
|
(9)
|
Class B Common Stock
|
4155255
|
|
4155255
|
D
|
|
Class A Common Stock
|
(5)
|
|
|
|
|
|
|
(6)
|
(14)
|
Class B Common Stock
|
400000
|
|
400000
|
I
|
Alan B. Miller Marital Trust (f/b/o Jill Miller)
|
Class A Common Stock
|
(5)
|
|
|
|
|
|
|
(6)
|
(7)
|
Class B Common Stock
|
18005
|
|
18005
|
I
|
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
|
Class A Common Stock
|
(5)
|
|
|
|
|
|
|
(6)
|
(7)
|
Class B Common Stock
|
16748
|
|
16748
|
I
|
MS 2014 LLC held by The Marni Spencer 2002 Trust
|
Class A Common Stock
|
(15)
|
|
|
|
|
|
|
(13)
|
(7)
|
Class B Common Stock
|
258630
|
|
258630
|
I
|
The Alan B. Miller 2002 Trust
|
Explanation of Responses:
|
(1)
|
On April 30, 2019, The Marc Daniel Miller 2018 GRAT distributed 28.21838% of the MDM 2014 LLC to the MDM 2014 LLC as held by Alan B. Miller, The Abby Miller King 2018 GRAT distributed 30.95556% of the AMK 2014 LLC to the AMK 2014 LLC as held by Alan B. Miller, and The Marni Spencer 2018 GRAT distributed 30.95556% of the MS 2014 LLC to the MS 2014 LLC as held by Alan B. Miller. Mr. Miller's pecuniary interest in these shares is unchanged. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2018 GRAT.
|
(2)
|
On April 30, 2019, Alan B. Miller contributed 62.27585% of AMK 2014 LLC to The Abby Miller King 2019 GRAT. These shares were held by the AMK 2014 LLC as held by Alan B. Miller.
|
(3)
|
On April 30, 2019, Alan B. Miller contributed 62.27585% of MS 2014 LLC to The Marni Spencer 2019 GRAT. These shares were held by the MS 2014 LLC as held by Alan B. Miller
|
(4)
|
On April 30, 2019, Alan B. Miller contributed 50.66610% of the MDM 2014 LLC to The Marc Daniel Miller 2019 GRAT. These shares were held by the MDM 2014 LLC as held by Alan B. Miller.
|
(5)
|
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
|
(6)
|
Immediately.
|
(7)
|
Not Applicable.
|
(8)
|
immediately
|
(9)
|
Not Applicable
|
(10)
|
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
|
(11)
|
Immediately.
|
(12)
|
Not Applicable.
|
(13)
|
Immediately
|
(14)
|
Not applicable.
|
(15)
|
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
MILLER ALAN B
UNIVERSAL HEALTH SERVICES, INC.
367 SOUTH GULPH ROAD
KING OF PRUSSIA, PA 19406
|
X
|
X
|
Chairman and CEO
|
|
Signatures
|
/s/ Steve Filton, Attorney-in-Fact for Alan B. Miller
|
|
5/1/2019
|
**
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 4(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 control number.
|
Universal Health Services (NYSE:UHS)
Historical Stock Chart
From Aug 2024 to Sep 2024
Universal Health Services (NYSE:UHS)
Historical Stock Chart
From Sep 2023 to Sep 2024