SEC Form 4 · accession 0000899243-16-011262
USMD Holdings, Inc. · USMD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
M. Patrick Collini
Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 7, 2016 · 1:01 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001507881
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock ($.01 par)F1 | Dec 31, 2015 | A | 1,629 | $7.98 | A | 20,857 | D | |
| Common Stock ($.01 par) | holding | — | — | — | 128,002 | I | Indirectly held through UANT Ventures, L.P. | |
| Common Stock ($.01 par) | holding | — | — | — | 13,248 | I | Held in M. Patrick Collini, MD, P.A. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to PurchaseF1 | $24.84 | Dec 31, 2015 | J | 71 | D | Aug 31, 2012 | Aug 31, 2017 | Common Stock ($.01 par) | 1,749 | 1,749 | I |
Explanation of responses
- F1Represents stock compensation granted to reporting person under the 2010 USMD Holdings, Inc. Equity Compensation Plan for his services as a director for the period from October 2015 through Decembe 2015.