Statement of Changes in Beneficial Ownership (4)
April 29 2021 - 1:20PM
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
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3235-0287
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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
*
McDonnell Eileen C. |
2. Issuer Name and Ticker or Trading Symbol
UNIVERSAL HEALTH SERVICES INC
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UHS
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
THE PENN MUTUAL LIFE INSURANCE COMPANY, 600 DRESHER ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/28/2021 |
(Street)
HORSHAM, PA 19044
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class B Common Stock | 4/28/2021 | | M | | 2500 | A | $148.32 | 9737 | D | |
Class B Common Stock | 4/28/2021 | | M | | 2500 | A | $148.32 | 12237 | D | |
Class B Common Stock | 4/28/2021 | | M | | 2500 | A | $148.32 | 14737 | D | |
Class B Common Stock | 4/28/2021 | | M | | 2500 | A | $148.32 | 17237 | D | |
Class B Common Stock | 4/28/2021 | | F | | 7517 | D | $148.32 | 9720 | D | |
Class B Common Stock | 4/28/2021 | | S(1) | | 2483 | D | $148.4301 | 7237 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 |
Option To Purchase Class B Common Stock | $124.56 | 4/28/2021 | | M | | | 2500 | (2) | 3/28/2022 | Class B Common Stock | 2500 | $0 | 2500 | D | |
Option To Purchase Class B Common Stock | $119.64 | 4/28/2021 | | M | | | 2500 | (3) | 4/12/2023 | Class B Common Stock | 2500 | $0 | 2500 | D | |
Option To Purchase Class B Common Stock | $134.02 | 4/28/2021 | | M | | | 2500 | (4) | 3/19/2024 | Class B Common Stock | 2500 | $0 | 7500 | D | |
Option To Purchase Class B Common Stock | $67.69 | 4/28/2021 | | M | | | 2500 | (5) | 3/17/2025 | Class B Common Stock | 2500 | $0 | 7500 | D | |
Explanation of Responses: |
(1) | All shares were sold at the same price of $148.4301. |
(2) | Option vested ratably on each of 3/29/2018, 3/29/2019, 3/29/2020 and 3/29/2021. |
(3) | Option vests ratably on each of 4/13/2019, 4/13/2020, 4/13/2021, and 4/13/2022. |
(4) | Option vests ratably on each of 3/20/2020, 3/20/2021, 3/20/2022, and 3/20/2023. |
(5) | Option vests ratably on each of 3/18/2021, 3/18/2022, 3/18/2023 and 3/18/2024. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
McDonnell Eileen C. THE PENN MUTUAL LIFE INSURANCE COMPANY 600 DRESHER ROAD HORSHAM, PA 19044 | X |
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Signatures
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/s/ Eileen C. McDonnell | | 4/29/2021 |
**Signature of Reporting Person | Date |
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