SEC Form 4 · accession 0001127602-16-047490
UNIVERSAL HEALTH SERVICES INC · UHS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alan B Miller
Officer — Chairman and CEO · Director · 10% Owner
Period of report
Mar 23, 2016
Accepted (ET)
Mar 24, 2016 · 4:45 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000352915
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class B Common Stock | Mar 23, 2016 | A | 12,646 | $0.00 | A | 724,453 | D | |
| Class B Common Stock | holding | — | — | — | 100,000 | I | AMK 2014 LLC | |
| Class B Common Stock | holding | — | — | — | 55,763 | I | By The Abby Miller King 2011 Family Trust | |
| Class B Common Stock | holding | — | — | — | 100,000 | I | MDM 2014 LLC | |
| Class B Common Stock | holding | — | — | — | 100,000 | I | MS 2014 LLC | |
| Class B Common Stock | holding | — | — | — | 59,900 | I | The Marc Daniel Miller 2011 Family Trust | |
| Class B Common Stock | holding | — | — | — | 55,763 | I | The Marni Spencer 2011 Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option To Purchase Class B Common StockF2 | $118.62 | Mar 23, 2016 | A | 590,000 | A | — | Mar 22, 2021 | Class B Common Stock | 590,000 | 590,000 | D |
Explanation of responses
- F1These restricted shares were granted pursuant to the Universal Health Services, Inc. 2010 Employees' Restricted Stock Purchase Plan and shall vest ratably on each of 3/23/2017, 3/23/2018, 3/23/2019 and 3/23/2020.
- F2Option vests ratably on each of 3/23/2017, 3/23/2018, 3/23/2019 and 3/23/2020.